Michelle Lei Sandwisch, APRN, CNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP61033178 Issued in WA

Practice address

2602 N Proctor St Ste 203
Tacoma, WA 98407-5250

Phone

(253) 203-6048

Fax

(253) 777-0948

NPI assigned

Jun 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michelle Lei Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• P3 Healthcare

  • Primary Care Clinic/Center
  • Puyallup, WA
  • NPI 1639054075
  NPD

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1326533373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 N PROCTOR ST STE 203",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984075250",
            "telephone_number": "253-203-6048",
            "fax_number": "253-777-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 N PROCTOR ST STE 203",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984075250",
            "telephone_number": "253-203-6048",
            "fax_number": "253-777-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDWISCH",
        "first_name": "MICHELLE",
        "middle_name": "LEI",
        "credential": "APRN, CNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "AP61033178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000000000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MARTIN",
            "middle_name": "LEI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ivy Sandquist, MD
• Kelly Sandquist
• Jeriann Sandrik, OD
• Jarret E Sands, D.O.
• Robert Edward Sands, MD
• Auroruis Sandz
• Elizabeth Grace Sanford, MD
• Nicholas James Sanford, M.S.
• Robin Danielle Sanford, CF-SLP
• Virginia Sanicolas

• Family Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.