Individual provider Active NPI

Sandra Elizabeth Hansen, M.D.

  • Critical Care Medicine (Anesthesiology) Physician
  • Syracuse, NY
National Provider Identifier
1932515202
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
328843 Issued in NY
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

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626001718 NY Practitioner - Anesthesiology 0446471882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians
St Joseph'S Physician Health PCGroup PAC ID 9436041431, 125 clinicians
Upstate Medical Anesthesiology Group IncGroup PAC ID 8921992389, 76 clinicians

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 100Reported as group
Quality
97.55
Promoting interoperability
100
Improvement activities
40
Cost
82.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15428GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Medical Anesthesiology Group, Inc. CurrentSince Aug 12, 2024 Accepting new patients
North Medical PC Current Accepting new patients
St Josephs Medical PC CurrentSince Nov 1, 2025 Accepting new patients
St. Joseph'S Physician Health, P.C. Anesthesiology CurrentSince Aug 1, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.