SANDRA R VAN GROLL APNP
NPI 1659898385
Nurse Practitioner in Two Rivers, WI

Q: What is Sandra Van Groll's NPI number?

The NPI number for Sandra Van Groll is 1659898385. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Q: What is Sandra Van Groll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Van Groll was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 23, 2017

5300 MEMORIAL DR, TWO RIVERS, WI 54241(920) 793-7337 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2023, Nov 30, 2021, May 3, 2019 and 1 more (4 updates tracked since 2017).

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About Sandra R Van Groll Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA R VAN GROLL APNP (NPI 1659898385) is an individual nurse practitioner in Two Rivers, Wisconsin, licensed in Wisconsin (7927) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1659898385

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSANDRA R VAN GROLLCredential: APNP

Location Address5300 MEMORIAL DRTwo Rivers, WI 54241-3923

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (920) 793-7337

Phone(920) 793-7337

Sole ProprietorNo

Enumeration DateAugust 23, 2017

Last NPPES UpdateAugust 28, 20244 updates tracked since enumeration

NPPES CertifiedAugust 28, 2024

✔ NPI 1659898385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 7927

Definition

(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.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 7927 (WI)

5300 MEMORIAL DR, Two Rivers, WI 54241

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Other Identifiers 1

Medicaid100071520WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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