Individual provider Active NPI

Joshua Fitzgerald Sandeman, F.N.P.

  • Family Nurse Practitioner
  • Monmouth, OR
National Provider Identifier
1699050492
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21378 Issued in CA
Practice address
180 Atwater St N Ofc
Monmouth, OR 97361
Phone
(503) 378-7526
Fax
(503) 585-4278
NPI assigned
Oct 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 21378 CA Primary

Addresses

Primary practice location

180 Atwater St N Ofc
Monmouth, OR 97361

Mailing address

180 Atwater St N Ofc
Monmouth, OR 97361-1801
Phone (503) 378-7526

Other practice location 1

2344 6th St Fl 2
Berkeley, CA 94710-2412
Phone (510) 981-4100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joshua.sandeman.p1@direct.nwhumanservices.nextgenshare.com Direct Northwest Human Services, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20130423000134 OR Practitioner - Nurse Practitioner 3971762287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Human Services IncGroup PAC ID 7012825797, 33 clinicians

Practice addresses (Care Compare)

1233 Edgewater St NW
Salem, OR 97304-4049
Phone (503) 378-7526

180 Atwater St N
Monmouth, OR 97361-1801
Phone (503) 606-3288

681 Ctr St NE
Salem, OR 97301-3722

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Salem, OR, CCN 387136
  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308
  • Salem Hospital Hospital, Salem, OR, CCN 380051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WVP Medical Group, LLC Past Accepting new patients
Northwest Human Services, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joshua.sandeman.p1@direct.nwhumanservices.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1699050492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ATWATER ST N OFC",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973611801",
            "telephone_number": "503-378-7526",
            "fax_number": "503-585-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ATWATER ST N OFC",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "97361",
            "telephone_number": "503-378-7526",
            "fax_number": "503-585-4278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2344 6th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947102412",
            "country_code": "US",
            "telephone_number": "510-981-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDEMAN",
        "first_name": "JOSHUA",
        "middle_name": "FITZGERALD",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joshua.sandeman.p1@direct.nwhumanservices.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Northwest Human Services, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "180 Atwater St N",
            "city": "Monmouth",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973611801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monmouth, OR

Sources for this page

Verify at the official NPI Registry.