Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710962675 Individual Practitioner Female Practitioner

Sandra G Jensen , NP

Nurse Practitioner • Southgate, MI

Professional Overview & Biography Verified Profile Summary

Sandra Jensen, NP is a registered healthcare professional specializing in Nurse Practitioner in Southgate, MI. Practice services are available at 15675 NORTHLINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15675 Northline Rd

Southgate, MI 481952334

Telephone 7342823600
Associated Practice Facility / Clinic
🏢 Munther Alaiwat, M.d. , P.c. Facility NPI 1861688780

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Southgate, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Southgate, MI (3626 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704283998

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross
0H28865 (MI)
Commercial Insurance / Payer ID Group Npi Henry Ford Wyandotte
1144634403

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Kathryn Maloy , MD, MPH

Obstetrics & Gynecology

NPI 1134410863

Doctor of Medicine (M.D.), Master of Public Health

Mary Delucia , WHCNP

Nurse Practitioner - Women's Health

NPI 1245218528
Jeanne Gray , CNP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1679629604

Certified Nurse Practitioner

Dr. Mallory Nagarah , DO

Obstetrics & Gynecology

NPI 1740555002

Doctor of Osteopathic Medicine (D.O.)

Daniel Moussa

Obstetrics & Gynecology

NPI 1801479696
Dr. Munther Alaiwat , MD

Obstetrics & Gynecology

NPI 1972592582

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 22, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address February 22, 2017

Registered at 1640 FORT ST, SUITE D ATTN DENISE, TRENTON, MI 481832040 (Tel: 7343913057)

📍
Updated Practice Location February 22, 2017

Registered at 15675 NORTHLINE RD, SOUTHGATE, MI 481952334 (Tel: 7342823600)

👤
Provider Name / Credentials Updated February 22, 2017

Recorded as SANDRA JENSEN, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2017

Nurse Practitioner (License #4704283998 in MI)

NPI Profile Active May 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2015

Registered at 15675 NORTHLINE RD, SOUTHGATE, MI 481952334 (Tel: 7342823600)

📍
Updated Business Mailing Address May 08, 2015

Registered at 2070 BIDDLE AVE, SUITE 200, WYANDOTTE, MI 481924080 (Tel: 7342259112)

👤
Provider Name / Credentials Updated May 08, 2015

Recorded as SANDRA JENSEN, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2015

Nurse Practitioner (License #RN-282790 in OH)

🟢
Initial NPI Registration & Enumeration December 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Sandra Jensen. Be the first to share your experience!

Sign in to leave a review for Sandra Jensen

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1710962675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2005
Last Update: February 22, 2017
Sole Proprietor: No

Mailing Address

1640 Fort St, Suite D Attn Denise

Trenton, MI 481832040

Phone: 7343913057

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.