Individual provider Active NPI

Sandra Degroat, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1144625799
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
296854 Issued in AZ
Practice address
16165 N 83Rd Ave
Peoria, AZ 85382-5816
Phone
(480) 974-6969
NPI assigned
Oct 24, 2014
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 296854 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP70014461 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00528400 NJ

Addresses

Primary practice location

16165 N 83Rd Ave
Peoria, AZ 85382-5816

Mailing address

16165 N 83Rd Ave
Peoria, AZ 85382-5816
Phone (480) 974-6969

Other names 1

  • Sandra Boshko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, AZ2 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
I20150123001003 NJ Practitioner - Nurse Practitioner 2466776307 Reassigns benefits to 2 organizations
I20231020002687 AZ Practitioner - Nurse Practitioner 2466776307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

30959 N Lola LN
San Tan Valley, AZ 85144-0844
Phone (201) 748-2806

79 Hall Rd
Chatham, NJ 07928-1754
Phone (855) 444-7258

824 N 99TH Ave
Suite 107And108
Avondale, AZ 85323-5324
Phone (623) 907-1457

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP70014461WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Community Bridges, Inc. Single Specialty Current Accepting new patients
Barnabas Health Medical Group, PC Single Specialty CurrentSince Dec 9, 2019 Accepting new patients
Ocean Mental Health Services Inc Single Specialty CurrentSince Aug 5, 2016 Accepting new patients
Community Bridges, Inc. Single Specialty Current Accepting new patients
Community Bridges, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Moonshot Psychiatric Nurse Practitioner PC Single Specialty CurrentSince Aug 21, 2025 Accepting new patients
Community Bridges, Inc Single Specialty Current Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Palm View Health and Wellness LLC PastSince May 7, 2023 Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

824 N 99th Ave
Ste 107108
Avondale, AZ 85323
Phone (623) 907-1457

824 N 99th Ave
Ste 108
Avondale, AZ 85323
Phone (602) 907-6520

1012 S Stapley Dr
Bldg 5
Mesa, AZ 85204
Phone (480) 768-6022

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste C
Tucson, AZ 85701
Phone (520) 323-1312

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

160 US Highway 9
Bayville, NJ 08721
Phone (732) 349-1977

1691 US Highway 9
Toms River, NJ 08755
Phone (732) 914-1688

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: sandra.degroatnp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1144625799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16165 N 83RD AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825816",
            "telephone_number": "480-974-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16165 N 83RD AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825816",
            "telephone_number": "480-974-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROAT",
        "first_name": "SANDRA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "296854",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70014461",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00528400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "BOSHKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.