Active NPI
Sandra Scetta Dagenais, CRNA
- Certified Registered Nurse Anesthetist
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704239363
- Practice address
- 14500 Hall Rd
Sterling Heights, MI 48313-1229 - Phone
- (586) 247-2700
- NPI assigned
- Aug 6, 2013
- Last updated
- Feb 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN 9301336 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704239363 | MI | Primary |
Addresses
Primary practice location
14500 Hall Rd
Sterling Heights, MI 48313-1229
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2608
Other practice location 1
1336 Creekside Blvd Ste 1
Naples, FL 34108-1931
Phone (239) 261-1158
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdagena1@direct.hfhs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14500 Hall Rd
Sterling Heights, MI 48313-1229
Phone (586) 247-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN 9301336 | FL | MD | Certified Registered Nurse Anesthetist |
| 4704239363 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients |
Locations
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
14500 Hall Rd
Sterling Hts, MI 48313
Phone (586) 247-2700
Interoperability endpoints
- sdagenais503933@direct.hfhs.org
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1871666479
Nurse Anesthetist, Certified Registered
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1346672904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14500 HALL RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483131229",
"telephone_number": "586-247-2700"
}
],
"practiceLocations": [
{
"address_1": "1336 Creekside Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341081931",
"country_code": "US",
"telephone_number": "239-261-1158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAGENAIS",
"first_name": "SANDRA",
"middle_name": "SCETTA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN 9301336",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704239363",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sdagena1@direct.hfhs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "14500 Hall Rd",
"city": "Sterling Heights",
"state": "MI",
"country_code": "US",
"postal_code": "483131229",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.