Sandra Wright, A-GNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704272415 Issued in MI

Practice address

125 W Columbia Ave
Belleville, MI 48111-2719

Phone

(734) 697-4244

Fax

(734) 697-8102

NPI assigned

Sep 2, 2019

Last updated

Dec 23, 2024By 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 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Body Medical PCGroup PAC ID 3072959915, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Advanced Body Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Belleville, MI
  • NPI 1558014878
  Medicare reassignment Care Compare group NPD
• Pro Healthcare Servicing, LLC

  • Home Health Agency
  • Fairfax, VA
  • NPI 1184879975
  NPD (past)
• Pro Healthcare Servicing, LLC

  • Home Health Agency
  • Fredericksburg, VA
  • NPI 1952713117
  NPD (past)

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1598313637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W COLUMBIA AVE",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112719",
            "telephone_number": "734-697-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W COLUMBIA AVE",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112719",
            "telephone_number": "734-697-4244",
            "fax_number": "734-697-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SANDRA",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704272415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Pine Dental Health, PLLC
• Jason Patrick Williams, ATC
• Kenneth Lee Williams, D.D.S.
• Raluca Williams, RN
• Wright & Roberson LLC (Promoting Positive Images)
• Xpeditious
• Chin Yi, MD
• Nima Zaal, PT, DPT
• Emily Ann Zielinski

• Adult Health Nurse Practitioner in Belleville, MI
• Providers in Belleville, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.