Individual provider Active NPI

Sandy Wienert, ARNP

  • Primary Care Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1144571969
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9168300 Issued in FL
Practice address
1921 E Nine Mile Rd
Pensacola, FL 32514-7747
Phone
(850) 479-4791
Fax
(850) 494-2260
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP9168300 FL Primary

Addresses

Primary practice location

1921 E Nine Mile Rd
Pensacola, FL 32514-7747

Mailing address

1921 E Nine Mile Rd
Pensacola, FL 32514-7747
Phone (850) 479-4791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130812000248 FL Practitioner - Nurse Practitioner 9830331446 Reassigns benefits to 1 organization
I20221019000429 NM Practitioner - Nurse Practitioner 9830331446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

3436 Isleta Blvd SW
Albuquerque, NM 87105-5837
Phone (505) 462-7777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
93.19
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9168300FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Oct 1, 2022 Accepting new patients
Pensacola Emergency Physicians, LLC CurrentSince Aug 1, 2013 Accepting new patients
Pensacola Emergency Physicians, LLC CurrentSince Aug 1, 2013 Accepting new patients
Presbyterian Healthcare Services Current Accepting new patients
Medical Professional Agency Inc Past Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

8312 Kaseman Ct NE
Albuquerque, NM 87110
Phone (505) 291-2200

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

7400 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 596-2400

Interoperability endpoints

  • Direct secure messaging: swienert219768@direct.phs.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1144571969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147747",
            "telephone_number": "850-479-4791",
            "fax_number": "850-494-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 E NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147747",
            "telephone_number": "850-479-4791",
            "fax_number": "850-494-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENERT",
        "first_name": "SANDY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9168300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.