Individual provider Active NPI

Angela Nicole Sander, APRN

  • Family Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1982335451
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114247 Issued in NE
Practice address
611 W Francis St Ste 270
North Platte, NE 69101-0620
Phone
(308) 568-3640
Fax
(308) 532-3335
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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 114247 NE Primary

Addresses

Primary practice location

611 W Francis St Ste 270
North Platte, NE 69101-0620

Mailing address

155 S Lincoln Ave
Colby, KS 67701-3023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20220811000992 NE Practitioner - Nurse Practitioner 9032592837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Platte Nebraska Hospital CorporationGroup PAC ID 6507856697, 237 clinicians

Practice addresses (Care Compare)

611 W Francis St
220 Great Plains Pediatrics
North Platte, NE 69101-0614
Phone (308) 568-3580

Hospital & facility affiliations

  • Great Plains Health Hospital, North Platte, NE, CCN 280065
  • Community Hospital Hospital, McCook, NE, CCN 281363
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Ogallala Community Hospital Hospital, Ogallala, NE, CCN 281355
  • Sidney Regional Medical Center Hospital, Sidney, NE, CCN 281357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation CurrentSince Aug 1, 2022 Accepting new patients
North Platte Nebraska Hospital Corporation CurrentSince Aug 1, 2022 Accepting new patients

Locations

611 W Francis St
Ste 200
North Platte, NE 69101
Phone (308) 534-9230

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

611 W Francis St
Ste 220
North Platte, NE 69101
Phone (308) 568-3580

Interoperability endpoints

  • Direct secure messaging: asander410974@direct.nebraskamed.com

Organizations & group practices 2

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 6

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": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1982335451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S LINCOLN AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST STE 270",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010620",
            "telephone_number": "308-568-3640",
            "fax_number": "308-532-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDER",
        "first_name": "ANGELA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.