Individual provider Active NPI

Michelle Sandstrom, CRNA

  • Certified Registered Nurse Anesthetist
  • Cockeysville, MD
National Provider Identifier
1245826577
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R195902 Issued in MD
Practice address
14 Highfield CT
Cockeysville, MD 21030-3023
Phone
(443) 610-8445
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R195902 MD Primary

Addresses

Primary practice location

14 Highfield CT
Cockeysville, MD 21030-3023

Mailing address

14 Highfield CT
Cockeysville, MD 21030-3023
Phone (443) 610-8445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720000895 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668875345 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebridge Anesthesia Associates LLCGroup PAC ID 2062514888, 109 clinicians
University of Maryland St Joseph Medical Group LLCGroup PAC ID 4880846179, 288 clinicians

Practice addresses (Care Compare)

2401 E Belvedere Ave
Baltimore, MD 21215-5216
Phone 80051653155104

7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 337-4877

Hospital & facility affiliations

  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040
  • Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012
  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 2, 2023 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Jun 24, 2021 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: msandstrom781115@direct.umm.edu

Organizations & group practices 4

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 4

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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1245826577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HIGHFIELD CT",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303023",
            "telephone_number": "443-610-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HIGHFIELD CT",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303023",
            "telephone_number": "443-610-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDSTROM",
        "first_name": "MICHELLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R195902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.