SANDRA G JENSEN NP
NPI 1710962675
Nurse Practitioner in Southgate, MI
About Sandra G Jensen Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA G JENSEN NP (NPI 1710962675) is an individual nurse practitioner in Southgate, Michigan, licensed in Michigan (4704283998) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandra G Jensen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sandra Jensen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wyandotte, MI 48192
- Reassigned Medicare billing, Michigan enrollment
- 197 clinicians in this Medicare group
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHGATE, MI 48195
SOUTHGATE, MI 48195
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sandra Jensen's NPI number?
The NPI number for Sandra Jensen is 1710962675. It was assigned to this individual provider in the NPPES registry on December 13, 2005.
Where is Sandra Jensen located?
Sandra Jensen practices at 15675 Northline Rd, Southgate, MI 48195. The listed phone number is (734) 282-3600.
What is Sandra Jensen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Sandra Jensen enrolled in Medicare?
Yes. Sandra Jensen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sandra Jensen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Jensen reassigns Medicare benefits to 2 organizations: Henry Ford Wyandotte Hospital (Wyandotte, MI) and Lifetime Hrt, PLLC (Dearborn, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Jensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sandra Jensen was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Sandra G Jensen, NP · NPI 1710962675
Nurse Practitioner physician in Southgate, Michigan. Individual provider, active in the CMS NPPES registry since December 13, 2005.
## Identity
- **NPI:** 1710962675 (Entity type: Individual)
- **Enumerated:** December 13, 2005
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4704283998 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 15675 NORTHLINE RD, Southgate, MI 48195-2334
- **Phone:** (734) 282-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Henry Ford Wyandotte Hospital (NPI 1710315932, Wyandotte, MI); Lifetime Hrt, PLLC (NPI 1598579526, Dearborn, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 22, 2017
- **Other identifiers:** Other 0H28865 (MI); Other 1144634403; Medicare PIN NOT ELIGIBLE
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Source: [NPI Profile](https://npiprofile.com/npi/1710962675) · Data from the CMS NPPES public registry.