Individual provider Active NPI

Sandra K Oetting, NP-C

  • Nurse Practitioner
  • Perrysburg, OH
National Provider Identifier
1992034458
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA 17191 NP Issued in OH
Practice address
30000 E River Rd
Perrysburg, OH 43551-3429
Phone
(419) 931-3440
Fax
(419) 661-4020
NPI assigned
Dec 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704185806 MI
Nurse Practitioner 363L00000X COA 17191 NP OH Primary

Addresses

Primary practice location

30000 E River Rd
Perrysburg, OH 43551-3429

Mailing address

30000 E River Rd
Perrysburg, OH 43551-3429
Phone (419) 931-3440

Other practice location 1

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

Other practice location 2

5200 Harroun Rd
Sylvania, OH 43560-2168
Phone (419) 931-3440

Other practice location 3

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400

Other identifiers 5

IdentifierTypeStateIssuer
MI4068021OtherMIMEDICARE
1992034458MedicaidMI
0129568MedicaidOH
0129568MedicaidMI
H429260OtherOHMEDICARE PIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address soetting28586@epicdirect.promedica.org
Direct Messaging Address soetting@sinceracare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110107000828 MI Practitioner - Nurse Practitioner 9335338276 Reassigns benefits to 2 organizations
Practice locations: Monroe, MI
I20160329002601 OH Practitioner - Nurse Practitioner 9335338276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice of Northwest OhioGroup PAC ID 8527150721, 17 clinicians

Practice addresses (Care Compare)

30000 E River Rd
Perrysburg, OH 43551-3429
Phone (419) 661-5110

8132 Secor Rd
Lambertville, MI 48144-8673
Phone (419) 661-4001

Hospital & facility affiliations

  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704185806MIMDNurse Practitioner
COA 17191 NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Apr 20, 2015 Accepting new patients
Promedica Central Corporation of Michigan CurrentSince Apr 1, 2021 Accepting new patients
Promedica Central Physicians Nurse Practitioner CurrentSince Apr 20, 2015 Accepting new patients
Hospice of Northwest Ohio CurrentSince Feb 6, 2025 Accepting new patients
SJMH Medical Practice-SMHC Nurse Practitioner Past Accepting new patients
Promedica Monroe Cardiology, PLLC Past Accepting new patients
Hospice of Northwest Ohio PastSince Feb 6, 2025 Accepting new patients
A Kabir MD Past Accepting new patients

Locations

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

777 Kimole Ln
Ste 220
Adrian, MI 49221
Phone (517) 263-6464

8132 Secor Rd
Lambertville, MI 48144
Phone (419) 661-4001

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

30000 E River Rd
Perrysburg, OH 43551
Phone (419) 661-4001

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

1 Seagate
Ste 800
Toledo, OH 43604

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

1091 Pray Blvd
Waterville, OH 43566
Phone (419) 785-3282

Organizations & group practices 8

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 5

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": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1992034458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30000 E RIVER RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513429",
            "telephone_number": "419-931-3440",
            "fax_number": "419-661-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30000 E RIVER RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513429",
            "telephone_number": "419-931-3440",
            "fax_number": "419-661-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2142 N Cove Blvd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063895",
            "country_code": "US",
            "telephone_number": "419-291-4000",
            "fax_number": "419-874-8657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Harroun Rd",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602168",
            "country_code": "US",
            "telephone_number": "419-931-3440",
            "fax_number": "419-661-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 N Macomb St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481627815",
            "country_code": "US",
            "telephone_number": "734-240-8400",
            "fax_number": "419-824-7359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OETTING",
        "first_name": "SANDRA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704185806",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA 17191 NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MI4068021",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992034458",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129568",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129568",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "H429260",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "soetting28586@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "soetting@sinceracare.org",
            "affiliation": "N",
            "address_1": "718 N Macomb St",
            "city": "Monroe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481627815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.