Active NPI
Sandra Michal Hadenfeld, ARNP, MN, FNP-C
- Nurse Practitioner
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60065168
- Practice address
- 1793 13TH St SE
Salem, OR 97302-2541 - Phone
- (503) 362-8385
- Fax
- (503) 362-8435
- NPI assigned
- Dec 16, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60065168 | WA | Primary |
Addresses
Primary practice location
1793 13TH St SE
Salem, OR 97302-2541
Mailing address
1793 13TH St SE
Salem, OR 97302-2541
Phone (503) 362-8385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.65 of 100
- Promoting interoperability
- 89
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60065168 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Falls Dermatology, LLC | Nurse Practitioner | Current | Accepting new patients |
| Silver Falls Dermatology, LLC | Current | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
1390 Waverly Dr SE
Albany, OR 97322
Phone (541) 967-8385
920 Country Club Rd
Ste 140A
Eugene, OR 97401
Phone (665) 993-3768
831 NW Council Dr
Ste 301
Gresham, OR 97030
Phone (503) 661-2577
375 SE Norton Ln
Ste C
McMinnville, OR 97128
Phone (503) 472-8162
3132 State St
Ste 110
Medford, OR 97504
Phone (541) 732-1686
1010 SW Coast Hwy
Ste 201
Newport, OR 97365
Phone (541) 257-6393
1793 13th St SE
Salem, OR 97302
Phone 50336283851283
1430 Commercial St SE
Salem, OR 97302
Phone (503) 362-9033
1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628
1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500
1338 Commerce Ave
Ste 106
Longview, WA 98632
Phone (971) 915-8587
19917 7th Ave NE
Ste 101
Poulsbo, WA 98370
Phone (360) 824-5474
19917 7th Ave NE
Ste 203
Poulsbo, WA 98370
Phone (360) 824-5474
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.
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1417163635
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1710123054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1793 13TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022541",
"telephone_number": "503-362-8385",
"fax_number": "503-362-8435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1793 13TH ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973022541",
"telephone_number": "503-362-8385",
"fax_number": "503-362-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADENFELD",
"first_name": "SANDRA",
"middle_name": "MICHAL",
"credential": "ARNP, MN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-16",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60065168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.