Individual provider Active NPI

Sandra L. Engemann, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Appleton, WI
National Provider Identifier
1992780977
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
046300OtherCRNA RECERTIFICATION CARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040408000445 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143213694 Reassigns benefits to 3 organizations
I20240312001978 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143213694 Reassigns benefits to 3 organizations

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
Racine Anesthesia Services LLCGroup PAC ID 8628103777, 81 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

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 Hospital, Appleton, WI, CCN 520009
  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
100532-030WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince May 3, 2024 Accepting new patients
Green Bay Anesthesia Assoc. SC CurrentSince Jan 11, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince May 3, 2024 Accepting new patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Feb 29, 2024 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Association of Hospital Anesthesiologists SC CurrentSince Jun 1, 2020 Accepting new patients
Nurse Anesthesia Professional Services LLC Nurse Anesthetist, Certified Registered PastSince Dec 15, 2024 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.

Hospital & facility affiliations 3

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": "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.

Verify at the official NPI Registry.