Active NPI
Mary K Sandelski, RNC, CNM
- Registered Nurse
- Valparaiso, IN
National Provider Identifier
1598905564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28105682A
- Practice address
- 2803 Boilermaker CT.
Suite 1-F
Valparaiso, IN 46383 - Phone
- (219) 462-5976
- NPI assigned
- Mar 3, 2009
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28105682A | IN | Primary |
| Midwife | 176B00000X | 09000073A | IN |
Addresses
Primary practice location
2803 Boilermaker CT.
Suite 1-F
Valparaiso, IN 46383
Mailing address
P.O. Box 397
Indianapolis, IN 46206-0397
Phone (317) 637-4343
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28105682A | IN | MD | Registered Nurse |
| 09000073A | IN | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Indiana Valparaiso | Past | Accepting new patients | |
| Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky | Past | Accepting new patients |
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.
-
dba Planned Parenthood of Indiana and Kentucky
- Non-Surgical Family Planning Clinic/Center
- Indianapolis, IN
- NPI 1891743092
-
- Non-Surgical Family Planning Clinic/Center
- Valparaiso, IN
- NPI 1124377015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1598905564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 397",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462060397",
"telephone_number": "317-637-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2803 BOILERMAKER CT.",
"address_2": "SUITE 1-F",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "46383",
"telephone_number": "219-462-5976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDELSKI",
"first_name": "MARY",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "RNC, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28105682A",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "IN",
"license": "09000073A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.