Individual provider Active NPI

Sandra Jean Wheaton, APNC

  • Family Nurse Practitioner
  • Longview, WA
National Provider Identifier
1841220266
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60914133 Issued in WA
Practice address
1615 Delaware St
Longview, WA 98632-2367
Phone
(360) 414-7960
Fax
(360) 414-2750
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN00547 NV
Family Nurse Practitioner 363LF0000X AP60914133 WA Primary

Addresses

Primary practice location

1615 Delaware St
Longview, WA 98632-2367

Mailing address

3477 Forest View CT
Reno, NV 89511-5310

Other practice location 1

9237 University Blvd
N Charleston, SC 29406-9189
Phone (843) 789-6400

Other practice location 2

1000 Locust St
Reno, NV 89502-2597
Phone (775) 786-7200 ext. 1677

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220711000944 WA Practitioner - Nurse Practitioner 4385639442 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 9739092065, 101 clinicians

Practice addresses (Care Compare)

400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 514-1734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN00547NVMDFamily Nurse Practitioner
AP60914133WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Sep 26, 2022 Accepting new patients
Peacehealth CurrentSince Oct 1, 2022 Accepting new patients
Peacehealth CurrentSince Sep 26, 2022 Accepting new patients
Peacehealth CurrentSince Oct 1, 2022 Accepting new patients
Peacehealth CurrentSince Jul 27, 2022 Accepting new patients
Urology Nevada LTD Past Accepting new patients

Locations

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

5400 MacArthur Blvd
Vancouver, WA 98661
Phone (360) 696-5100

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19482/brand/1/csg/1/fhir/r4
  • Direct secure messaging: swheaton560429@direct.peacehealth.org

Organizations & group practices 6

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1841220266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 FOREST VIEW CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 DELAWARE ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322367",
            "telephone_number": "360-414-7960",
            "fax_number": "360-414-2750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9237 University Blvd",
            "address_purpose": "LOCATION",
            "city": "N Charleston",
            "state": "SC",
            "postal_code": "294069189",
            "country_code": "US",
            "telephone_number": "843-789-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Locust St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022597",
            "country_code": "US",
            "telephone_number": "775-786-7200 x1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEATON",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "APNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN00547",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60914133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.