Individual provider Active NPI

Stephen Kristofer Sandlund, FNP

  • Family Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1891929071
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15844 Issued in OH
Practice address
4623 Millennium Dr
Zanesville, OH 43701-1194
Phone
(740) 221-4588
NPI assigned
May 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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 15844 OH Primary

Addresses

Primary practice location

4623 Millennium Dr
Zanesville, OH 43701-1194

Mailing address

4623 Millennium Dr
Zanesville, OH 43701-1194
Phone (740) 221-4588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140609002016 OH Practitioner - Nurse Practitioner 5890919096 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group of Southeastern Ohio IncGroup PAC ID 8628232469, 61 clinicians
Genesis Emergency Physicians LLCGroup PAC ID 6406905736, 38 clinicians

Practice addresses (Care Compare)

1215 Newark Rd
Zanesville, OH 43701-2620
Phone (740) 455-3304

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15844OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group, LLC CurrentSince Jan 1, 2017 Accepting new patients
Zanesville Family Practice Inc CurrentSince Feb 28, 2015 Accepting new patients
Genesis Emergency Physicians LLC CurrentSince Nov 1, 2017 Accepting new patients
Genesis Medical Group LLC CurrentSince Jan 1, 2017 Accepting new patients
Medical Home Primary Care Center Current Accepting new patients

Locations

48439 Genesis Dr
Ste A
Coshocton, OH 43812
Phone (740) 454-4000

301 Mike Clouse Dr
Somerset, OH 43783
Phone (740) 654-6213

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

1215 Newark Rd
Zanesville, OH 43701
Phone (740) 452-7359

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

945 Bethesda Dr
Zanesville, OH 43701
Phone (740) 454-4044

23 N Maysville Ave
Zanesville, OH 43701
Phone (740) 453-0693

2800 Maple Ave
Zanesville, OH 43701
Phone (740) 453-7725

2800 Maple Ave
Ste 100P
Zanesville, OH 43701
Phone (740) 454-4585

3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248

Interoperability endpoints

  • Direct secure messaging: stephen.sandlund.p20@direct.pgseo.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 4

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": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1891929071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 MILLENNIUM DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011194",
            "telephone_number": "740-221-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 MILLENNIUM DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011194",
            "telephone_number": "740-221-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLUND",
        "first_name": "STEPHEN",
        "middle_name": "KRISTOFER",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-04",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "15844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.