Active NPI
Sandra L. Engemann, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Practice address
- 1506 S. Oneida St.
Appleton, WI 54915 - Phone
- (920) 433-3500
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | WI | Primary |
Addresses
Primary practice location
1506 S. Oneida St.
Appleton, WI 54915
Mailing address
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046300 | Other | CRNA RECERTIFICATION CARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000
Hospital & facility affiliations
- Ascension NE Wisconsin - St Elizabeth Campus
- Javon Bea Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100532-030 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Green Bay Anesthesia Assoc. SC | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Association of Hospital Anesthesiologists SC | Current | Accepting new patients | |
| Nurse Anesthesia Professional Services LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Laboratory Corportation of America Holdings | Past | Accepting new patients | |
| Anesthesia Services of the Fox Valley SC | Past | Accepting new patients | |
| Mymichigan Medical Center Tawas | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1616 N Casaloma Dr
#200
Appleton, WI 54913
Phone (314) 550-0188
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
225 S Executive Dr
Brookfield, WI 53005
Phone (262) 787-4026
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
1550 Midway Pl
Menasha, WI 54952
Phone (920) 727-8030
Bin 88263
Milwaukee, WI 53288
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
Organizations & group practices 12
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.
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Anesthesiology Physician
- Neenah, WI
- NPI 1720076474
-
- Anesthesiology Physician
- Green Bay, WI
- NPI 1023065836
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
- Anesthesiology Physician
- Oshkosh, WI
- NPI 1750385597
-
- Certified Registered Nurse Anesthetist
- Green Bay, WI
- NPI 1992066518
Nurse Anesthetist, Certified Registered
-
- Clinical Medical Laboratory
- Clinton, IN
- NPI 1194140293
-
- Rural Health Clinic/Center
- Tawas City, MI
- NPI 1952399743
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992780977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-433-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 S. ONEIDA ST.",
"city": "APPLETON",
"state": "WI",
"postal_code": "54915",
"telephone_number": "920-433-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEMANN",
"first_name": "SANDRA",
"middle_name": "L.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA RECERTIFICATION CARD",
"identifier": "046300",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.