Sandra J Bartz, RN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R 108430-0 Issued in MN

Practice address

5775 Wayzata Blvd Ste 140
St Louis Park, MN 55416-2660

Phone

(952) 738-4477

NPI assigned

Jan 11, 2006

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

Other identifiers 1

Other names 1

• Sandra J Dillon Former name

Medicare fee-for-service enrollment

Enrolled in MN

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

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 and National Provider Directory roles.

• Medical Scanning Consultants PA

  • Diagnostic Radiology Physician
  • St Louis Park, MN
  • NPI 1659348092
  Medicare reassignment Care Compare group NPD
• Cdi Twin Cities ASC LLC

  • Ambulatory Surgical Clinic/Center
  • St Louis Park, MN
  • NPI 1245207687
  NPD
• Medical Scanning Consultants PA

  • Diagnostic Radiology Physician
  • Federal Way, WA
  • NPI 1730156175
  NPD
• Consulting Radiologists, LTD

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
  • NPI 1487730594
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1639158439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD STE 400",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161271",
            "telephone_number": "952-905-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD STE 140",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162660",
            "telephone_number": "952-738-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 Highway 36 W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551133905",
            "country_code": "US",
            "telephone_number": "651-292-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTZ",
        "first_name": "SANDRA",
        "middle_name": "J",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 108430-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354397800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "DILLON",
            "middle_name": "J",
            "credential": "RN, CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanna Barthell, PA-C
• John R Bartlett, MD
• Rebecca A Bartlett, MD
• Collette Victoria Barton, LPN
• Shelly L Bartsch, CNS
• Steven R Bartz, CRNA
• Sheri Barwig
• Jamie L Baso, MSN , PMHNP-BC
• Charles M Bass, MD
• Elizabeth Field Baudhuin, MS, RN, PMHNP-BC

• Family Nurse Practitioner in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.