Individual provider Active NPI

Sandra Mens Manssur, NP

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1336252329
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704225065 Issued in MI
Practice address
102 W Pierson Rd
Flint, MI 48505-3348
Phone
(810) 222-3033
NPI assigned
Aug 16, 2006
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704225065 MI Primary

Addresses

Primary practice location

102 W Pierson Rd
Flint, MI 48505-3348

Mailing address

PO Box 746723
Atlanta, GA 30374-6723
Phone (127) 339-7303

Other practice location 1

G3169 Beecher Rd Ste 100
Flint, MI 48532-3611
Phone (810) 620-0250

Other names 1

  • Sandra Mens Muller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071005000785 MI Practitioner - Nurse Practitioner 1355436288 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians
Flushing Urgent Care PLCGroup PAC ID 2961653803, 14 clinicians

Practice addresses (Care Compare)

102 W Pierson Rd
Flint, MI 48505-3348
Phone (810) 222-3033

6020 W Pierson Rd
Convenient Urgent Care
Flushing, MI 48433-2335
Phone (810) 720-1200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Family Care Clinic, PLLC CurrentSince Nov 19, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Aug 4, 2022 Accepting new patients
Sunshine Family Cares, Inc. CurrentSince Nov 19, 2023 Accepting new patients
Osh-Mi Physicians Group PC CurrentSince May 22, 2023 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince May 22, 2023 Accepting new patients
Flushing Urgent Care PLC CurrentSince Dec 16, 2019 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Aug 4, 2022 Accepting new patients
Seniors Wellness Group of Michigan, P.C. Past Accepting new patients

Locations

612 N State Rd
Davison, MI 48423
Phone (810) 652-6600

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033

630 S Saginaw St
Ste 4
Flint, MI 48502
Phone (810) 257-3612

G3169 Beecher Rd
Ste 100
Flint, MI 48532
Phone (810) 620-0250

6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989

Interoperability endpoints

  • Direct secure messaging: sandra.manssur@oakstreethealth.gwaydirect.com
  • Direct secure messaging: sandra.muller@237821350117380.direct.elationemr.com

Organizations & group practices 8

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.

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1336252329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746723",
            "telephone_number": "127-339-7303",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W PIERSON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485053348",
            "telephone_number": "810-222-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "G3169 Beecher Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323611",
            "country_code": "US",
            "telephone_number": "810-620-0250",
            "fax_number": "810-620-0255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSSUR",
        "first_name": "SANDRA",
        "middle_name": "MENS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-04-18",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704225065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "MULLER",
            "middle_name": "MENS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.