Individual provider Active NPI

Sandra Kay Droessler, PA

  • Emergency Medicine Physician
  • Davenport, IA
National Provider Identifier
1417487455
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
090207 Issued in IA
Practice address
3200 W Kimberly Rd
Davenport, IA 52806-3059
Phone
(563) 421-0100
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2800 OK
Emergency Medicine Physician 207P00000X 090207 IA Primary

Addresses

Primary practice location

3200 W Kimberly Rd
Davenport, IA 52806-3059

Mailing address

1373 E Boone St Ste 3400
Tahlequah, OK 74464-3365

Other names 1

  • N/a N/a Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sandra.droessler@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180213002225 IA Practitioner - Physician Assistant 3971872789 Reassigns benefits to 1 organization
I20201014000709 IL Practitioner - Physician Assistant 3971872789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians

Practice addresses (Care Compare)

202 Picard St
Alpha, IL 61413-5023
Phone (309) 629-4601

301 N 4TH Ave
Mercyone Genesis Eldridge
Eldridge, IA 52748-1113
Phone (563) 421-9880

3200 W Kimberly Rd
Davenport, IA 52806-3059
Phone (563) 421-0100

4321 53Rd Ave
Bettendorf, IA 52722-1269
Phone (563) 421-5300

619 5TH St
Durant, IA 52747-7737
Phone (563) 785-4487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Feb 5, 2018 Accepting new patients
Genesis Health System CurrentSince Feb 5, 2018 Accepting new patients
Genesis Health System CurrentSince Jun 16, 2020 Accepting new patients

Locations

210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

3200 W Kimberly Rd
Davenport, IA 52806
Phone (563) 421-0010

619 5th St
Durant, IA 52747
Phone (563) 785-4487

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329

Interoperability endpoints

  • Direct secure messaging: sandra.droessler@direct.genesishealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1417487455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 E BOONE ST STE 3400",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063059",
            "telephone_number": "563-421-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROESSLER",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OK",
            "license": "2800",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "090207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sandra.droessler@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3200 W Kimberly Rd",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528063059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.