Individual provider Active NPI

Sandra D Ernst, NP

  • Nurse Practitioner
  • Silsbee, TX
National Provider Identifier
1982616561
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
242818 Issued in TX
Practice address
755 N 4TH St
Silsbee, TX 77656-3802
Phone
(409) 386-1222
NPI assigned
Aug 12, 2006
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 242818 TX Primary

Addresses

Primary practice location

755 N 4TH St
Silsbee, TX 77656-3802

Mailing address

755 N 4TH St
Silsbee, TX 77656-3802
Phone (409) 396-1222

Other identifiers 1

IdentifierTypeStateIssuer
242818OtherTXNURSE PRACTITIONERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040527000253 TX Practitioner - Nurse Practitioner 6507847373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Health Center IncGroup PAC ID 5597675215, 12 clinicians

Practice addresses (Care Compare)

2548 Memorial Blvd
Port Arthur, TX 77640-2825
Phone (409) 983-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Health Center, Inc CurrentSince Jan 17, 2013 Accepting new patients
Gulf Coast Health Center, Inc CurrentSince Jan 17, 2013 Accepting new patients
Gulf Coast Health Center Inc Current Accepting new patients
Gulf Coast Health Center Inc Past Accepting new patients
Emergency Health Services Associates, P.a. Past Accepting new patients
Texas Em-I Medical Services, PA Nurse Practitioner Past Accepting new patients

Locations

2548 Memorial Blvd
Port Arthur, TX 77640
Phone 4099831161817

710 Highway 327 E
Silsbee, TX 77656
Phone (409) 385-2811

755 N 4th St
Silsbee, TX 77656
Phone (409) 385-3347

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1982616561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 4TH ST",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776563802",
            "telephone_number": "409-396-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 4TH ST",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776563802",
            "telephone_number": "409-386-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST",
        "first_name": "SANDRA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "242818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONERS",
            "identifier": "242818",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silsbee, TX

Sources for this page

Verify at the official NPI Registry.