Active NPI
Sandra Elizabeth Hansen, M.D.
- Critical Care Medicine (Anesthesiology) Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician
- License
- 328843
- Practice address
- 5784 Widewaters Pkwy
FL 2
Syracuse, NY 13214-1890 - Phone
- (315) 469-1134
- NPI assigned
- Jul 8, 2014
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 328843 | NY | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 328843 | NY | Primary |
| Anesthesiology Physician | 207L00000X | 15428 | GA | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 15428 | GA |
Addresses
Primary practice location
5784 Widewaters Pkwy
FL 2
Syracuse, NY 13214-1890
Mailing address
5784 Widewaters Pkwy Ste 2
Syracuse, NY 13214-1890
Phone (315) 469-1134
Other practice location 1
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111
Other practice location 2
18th Medical Group
Unit 5142
Apo, AP 96368-0000
Phone (315) 634-6020
Other practice location 3
1364 Clifton Rd NE
Atlanta, GA 30322-5010
Phone (404) 251-5153
Other practice location 4
750 NE 13th St
Oklahoma City, OK 73104-5010
Phone (405) 271-4351 ext. 55019
Other practice location 5
113 Lielmanis Ave
Hurlburt Field, FL 32544
Phone (850) 884-1100
Other names 1
- Sandra Nussey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111
5100 W Taft Rd
Liverpool, NY 13088-4841
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4720
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.42 of 100
- Quality
- 97.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.01
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15428 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Medical Anesthesiology Group, Inc. | Current | Accepting new patients | |
| North Medical PC | Current | Accepting new patients | |
| St Josephs Medical PC | Current | Accepting new patients | |
| St. Joseph'S Physician Health, P.C. | Anesthesiology | Current | Accepting new patients |
Locations
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
5784 Widewaters Pkwy
Ste 2
Syracuse, NY 13214
Phone (315) 469-1134
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
163 Intrepid Ln
#100
Syracuse, NY 13205
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Interoperability endpoints
- shansen4685753@direct.trinity-health.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1851485759
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1932515202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5784 WIDEWATERS PKWY STE 2",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132141890",
"telephone_number": "315-469-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5784 WIDEWATERS PKWY",
"address_2": "FL 2",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132141890",
"telephone_number": "315-469-1134"
}
],
"practiceLocations": [
{
"address_1": "301 Prospect Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132031807",
"country_code": "US",
"telephone_number": "315-448-5111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18th Medical Group",
"address_2": "Unit 5142",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "963680000",
"country_code": "US",
"telephone_number": "315-634-6020",
"country_name": "United States",
"address_type": "MIL"
},
{
"address_1": "1364 Clifton Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303225010",
"country_code": "US",
"telephone_number": "404-251-5153",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 NE 13th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731045010",
"country_code": "US",
"telephone_number": "405-271-4351 x55019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "113 Lielmanis Ave",
"address_purpose": "LOCATION",
"city": "Hurlburt Field",
"state": "FL",
"postal_code": "32544",
"country_code": "US",
"telephone_number": "850-884-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "SANDRA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "328843",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "NY",
"license": "328843",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "15428",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "GA",
"license": "15428",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "NUSSEY",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.