Active NPI
Sara Jean Nankervis, RN
- Registered Nurse
- Mount Morris, MI
National Provider Identifier
1508780289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704409710
- Practice address
- 1025 Corydon Dr
Mount Morris, MI 48458-1601 - Phone
- (248) 558-0029
- NPI assigned
- Aug 6, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704409710 | MI | Primary |
Addresses
Primary practice location
1025 Corydon Dr
Mount Morris, MI 48458-1601
Mailing address
1025 Corydon Dr
Mount Morris, MI 48458-1601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1508780289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 CORYDON DR",
"city": "MOUNT MORRIS",
"state": "MI",
"postal_code": "484581601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 CORYDON DR",
"city": "MOUNT MORRIS",
"state": "MI",
"postal_code": "484581601",
"telephone_number": "248-558-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANKERVIS",
"first_name": "SARA",
"middle_name": "JEAN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-06",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704409710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Morris, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.