Individual provider Active NPI

Sandra Lee Wheeler, FNP

  • Family Nurse Practitioner
  • Ripley, MS
National Provider Identifier
1639243835
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R670308 Issued in MS
Practice address
716 S Main St
Ripley, MS 38663-2909
Phone
(662) 837-1534
Fax
(662) 837-3274
NPI assigned
Nov 20, 2006
Last updated
Nov 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R670308 MS Primary

Addresses

Primary practice location

716 S Main St
Ripley, MS 38663-2909

Mailing address

716 S Main St
Ripley, MS 38663-2909
Phone (662) 837-1534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20100728000793 MS Practitioner - Nurse Practitioner 3870626831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Nursemed LLCGroup PAC ID 5294646782, 9 clinicians

Practice addresses (Care Compare)

1031 Northridge Rd
Baldwyn, MS 38824-1173
Phone (662) 365-9305

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R670308MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nursemed LLC CurrentSince Apr 24, 2010 Accepting new patients

Locations

1031 Northridge Rd
Baldwyn, MS 38824
Phone (662) 365-9305

716 S Main St
Ripley, MS 38663
Phone (662) 837-1534

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1639243835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 S MAIN ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386632909",
            "telephone_number": "662-837-1534",
            "fax_number": "662-837-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S MAIN ST",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386632909",
            "telephone_number": "662-837-1534",
            "fax_number": "662-837-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R670308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, MS

Sources for this page

Verify at the official NPI Registry.