Elizabeth Sandberg, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R34501 Issued in ND

Practice address

4 N Park St
Northwood, ND 58267-4102

Phone

(701) 587-6900

Fax

(701) 587-6104

NPI assigned

Jul 17, 2014

Last updated

Jul 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwood Deaconess Health CenterGroup PAC ID 1052207057, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwood Deaconess Health Center Hospital, Northwood, ND, CCN 351312
• Altru Hospital Hospital, Grand Forks, ND, CCN 350019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwood Deaconess Health Center

  • Critical Access Hospital
  • Northwood, ND
  • NPI 1356449136
  Medicare reassignment Care Compare group
• Northwood Deaconess Health Center

  • Rural Health Clinic/Center
  • Larimore, ND
  • NPI 1689085797
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  Care Compare affiliation
• Northwood Deaconess Health Center

  • Critical Access Hospital
  • Northwood, ND
  • NPI 1356449136
  Care Compare affiliation

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1376950782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "NORTHWOOD",
            "state": "ND",
            "postal_code": "582670190",
            "telephone_number": "701-587-6900",
            "fax_number": "701-587-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 N PARK ST",
            "city": "NORTHWOOD",
            "state": "ND",
            "postal_code": "582674102",
            "telephone_number": "701-587-6900",
            "fax_number": "701-587-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R34501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwood Deaconess Health Center
• Northwood Deaconess Health Center
• Daniel Ostlie, QSP TRANSPORTATION
• Pharmacists Associates LLC (Northwood Drug)
• Anita Sanda
• Amanda Sawyer
• Ellie Schumacher
• Jamie Lynn Sehrt, LCSW
• Susan Faye Smith, APRN,BC,FNP
• Erika Stein, MD

• Family Nurse Practitioner in Northwood, ND
• Providers in Northwood, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.
• 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.