Active NPI
Anna Michelle Sanders, FNP-BC
- Family Nurse Practitioner
- Hewlett, NY
National Provider Identifier
1962917500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 348630
- Practice address
- 1571 Broadway
Hewlett, NY 11557-1428 - Phone
- (516) 295-3003
- NPI assigned
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 348630 | NY | Primary |
| Registered Nurse | 163W00000X | 720662 | NY |
Addresses
Primary practice location
1571 Broadway
Hewlett, NY 11557-1428
Mailing address
1571 Broadway
Brooklyn, NY 11207-3396
Phone (516) 295-3003
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260128001347 | NY | Order and Referring Only - Nurse Practitioner | 9133568207 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of New York Downstate Medical Center, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- L'Refuah Medical and Rehabilitation Center, Inc.
Practice addresses (Care Compare)
3710 13TH Ave
Brooklyn, NY 11218-3602
Phone (718) 686-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720662 | NY | MD | Registered Nurse |
| 348630 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L'Refuah Medical & Rehabilitation Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- michelle.sanders.p1@direct.ezramedical.nextgenshare.com
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1427098227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1962917500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1571 BROADWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112073396",
"telephone_number": "516-295-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1571 BROADWAY",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115571428",
"telephone_number": "516-295-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "ANNA",
"middle_name": "MICHELLE",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "348630",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "720662",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hewlett, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.