Sandra R Hansen, PA-C
Individual provider Active NPI Physician Assistant · Summit, WI
NPI 1174565170 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1174565170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1761 (WI)
- Practice address
- 36500 Aurora Dr
Summit, WI 53066-4899 - Phone
- (262) 434-1000
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Aurora Medical Group, Inc.
Practice addresses (Care Compare)
1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056
36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000
Hospital & facility affiliations
- Aurora Medical Center - Summit
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040921001037 | WI | Practitioner - Physician Assistant | 1254309826 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Lakeshore Medical Clinic, LLC | Past | Accepting new patients | |
| Wisconsin Heart Group | Past | Accepting new patients | |
| Wisconsin Heart Center S C | Past | Accepting new patients | |
| Midwest Area Physicians, LLC | Past | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Wisconsin Heart Group Associates LLC | Past | Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
3070 N 51st St
Milwaukee, WI 53210
Phone (414) 442-9911
2801 W Kinnickinnic River Pkwy
Ste 530
Milwaukee, WI 53215
Phone (414) 646-2550
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
2000 E Layton Ave
Ste 170
St Francis, WI 53235
Phone (414) 294-4570
36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000
915 Summit Ave
Summit, WI 53066
Phone (262) 569-2300
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533
Interoperability endpoints
- shansen20732@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1761 | WI | Yes |
Addresses
Primary practice location
36500 Aurora Dr
Summit, WI 53066-4899
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41991200 | Medicaid | WI |
Other names
- Sandra R Krueger
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shansen20732@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Summit, WI
- Christina Grimord
- Pravin Gupta
- Alexander Haberman
- Kathryn M Haberman
- Derek Hanaman
- Joel David Harris
- Gina M Harron
- Lisa L Harshbarger
- Travis M Hecker
- MHD Kher Heder
All providers in Summit, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.