Active NPI
Sondra Marie Bantis, ARNP
- Adult Health Nurse Practitioner
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 10225
- Practice address
- 225 Smith Ave N Ste 500
Saint Paul, MN 55102-2545 - Phone
- (651) 292-0007
- Fax
- (651) 241-2740
- NPI assigned
- Sep 28, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | ARNP9209588 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | 10225 | MN | Primary |
| Nurse Practitioner | 363L00000X | ARNP9209588 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | H155677 | IA |
Addresses
Primary practice location
225 Smith Ave N Ste 500
Saint Paul, MN 55102-2545
Mailing address
PO Box 43
Minneapolis, MN 55440-0043
Phone (612) 262-1166
Other practice location 1
6500 W Newberry Rd
Gainesville, FL 32605-4392
Phone (844) 673-6968
Other names 1
- Sondra Marie Bantis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 719
Sunnyside, WA 98944
Hospital & facility affiliations
- Sunnyside Home Health
- Astria Sunnyside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10225 | MN | MD | Speech-Language Pathologist |
| ARNP9209588 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Services - Lehigh Physician Management LLC | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Wound Care Physicians of Tampa Bay LLC | Current | Accepting new patients | |
| Saberi Advanced Wound Care LLC | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Heal Precisely of Northside LLC | Current | Accepting new patients | |
| Heal Precisely of Tampa Bay LLC | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Adult Health | Current | Accepting new patients |
| Piedmont Specialty Hospital Billing LLC | Current | Accepting new patients | |
| Transitions Care Management PA | Past | Accepting new patients |
Locations
1530 Lee Blvd
Ste 1100
Lehigh Acres, FL 33936
Phone (239) 303-2600
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
5880 49th St N
Ste N203
St Petersburg, FL 33709
Phone (727) 300-0405
5880 49th St N
Ste N201
St Petersburg, FL 33709
Phone (727) 300-0405
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682
2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949
Organizations & group practices 13
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.
-
- General Practice Physician
- St Petersburg, FL
- NPI 1093433674
-
- Family Medicine Physician
- St Petersburg, FL
- NPI 1588348262
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
-
- Family Medicine Physician
- St Petersburg, FL
- NPI 1578264818
-
- Wound Care Registered Nurse
- St Petersburg, FL
- NPI 1245056522
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Surgery Physician
- Lehigh Acres, FL
- NPI 1114385655
-
- Critical Access Hospital
- Sunnyside, WA
- NPI 1225033814
-
- Family Medicine Physician
- Toppenish, WA
- NPI 1295252930
-
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1407289184
Adult Health
-
- Clinic/Center
- Yakima, WA
- NPI 1609395060
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sunnyside, WA
- NPI 1225033814
-
- Home Health Agency
- Sunnyside, WA
- NPI 1669918405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1780193177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554400043",
"telephone_number": "612-262-1166",
"fax_number": "612-262-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 SMITH AVE N STE 500",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022545",
"telephone_number": "651-292-0007",
"fax_number": "651-241-2740"
}
],
"practiceLocations": [
{
"address_1": "6500 W Newberry Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326054392",
"country_code": "US",
"telephone_number": "844-673-6968",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANTIS",
"first_name": "SONDRA",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-28",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "ARNP9209588",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "10225",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9209588",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IA",
"license": "H155677",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SONDRA",
"last_name": "BANTIS",
"middle_name": "MARIE",
"credential": "ARNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.