Sandra J Rae, RNC,WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

268675 Issued in MA

Practice address

3550 Main St
Suite 201
Springfield, MA 01107-1089

Phone

(413) 732-1620

Fax

(617) 616-1617

NPI assigned

Feb 12, 2007

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

Medicare fee-for-service enrollment

Enrolled in MA

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

Vanderbilt University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pioneer Spine and Sports Physicians PCGroup PAC ID 5991609174, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
• Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016
• Baystate Medical Center Hospital, Springfield, MA, CCN 220077
• Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srae@spinesports.medentdirect.com

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.

• Pioneer Spine and Sports Physicians PC

  • Physical Medicine & Rehabilitation Physician
  • West Springfield, MA
  • NPI 1346282621
  Medicare reassignment Care Compare group NPD
• Pioneer Spine and Sports Physicians, PC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1346427713
  NPD (past)

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

• Baystate Franklin Medical Center

  • General Acute Care Hospital
  • Greenfield, MA
  • NPI 1508867391
  Care Compare affiliation
• Baystate Medical Center Inc

  dba Baystate Medical Center

  • General Acute Care Hospital
  • Springfield, MA
  • NPI 1487655064
  Care Compare affiliation
• Baystate Medical Center Inc

  dba Baystate Reference Laboratories

  • Clinical Medical Laboratory
  • Springfield, MA
  • NPI 1568488450

  Hospital

  Care Compare affiliation
• Baystate Noble Hospital Corporation

  • General Acute Care Hospital
  • Westfield, MA
  • NPI 1700816048
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • General Acute Care Hospital
  • Northampton, MA
  • NPI 1477596310
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • Psychiatric Hospital Unit
  • Northampton, MA
  • NPI 1871512814
  Care Compare affiliation

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750423430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 NONOTUCK ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402635",
            "telephone_number": "413-732-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 MAIN ST",
            "address_2": "SUITE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071089",
            "telephone_number": "413-732-1620",
            "fax_number": "617-616-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAE",
        "first_name": "SANDRA",
        "middle_name": "J",
        "credential": "RNC,WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "268675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology & Imaging, Inc.
• Radiology and Imaging, Inc.
• Shannon L Radlo, LCSW
• Mark Alan Radzicki, MD
• Kailey Radziszewski
• Rafa Transportation
• Aneta B Rafalowski, M.D.
• Seamus Rafferty, MD
• Somaira Rafiq-Yasin, D.O.
• Raghubinder Bajwa MD PC

• Women's Health Nurse Practitioner in Springfield, MA
• Providers in Springfield, MA by specialty
• Women's Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.