SANDRA G JENSEN NP
NPI 1710962675
Nurse Practitioner in Southgate, MI

Active since December 13, 2005PECOS Enrolled
15675 NORTHLINE RD, SOUTHGATE, MI 48195(734) 282-3600 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1710962675
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSANDRA G JENSENCredential: NP
Location Address15675 NORTHLINE RDSouthgate, MI 48195-2334
Mailing Address1640 Fort St, Suite D Attn DeniseTrenton, MI 48183-2040 · (734) 391-3057 · Fax (734) 391-3052
Sole ProprietorNo
Enumeration DateDecember 13, 2005
Last NPPES UpdateFebruary 22, 2017
NPI 1710962675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704283998
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.

15675 NORTHLINE RD, Southgate, MI 48195

Other Identifiers 3

Other0H28865MI · Blue Cross
Other1144634403Group Npi Henry Ford Wyandotte
Medicare PINNOT ELIGIBLE

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sandra G Jensen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48195 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.76
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $22.69
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.35
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $25.58
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Nurse Practitioner (Obstetrics & Gynecology)
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Obstetrics & Gynecology
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Obstetrics & Gynecology
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Nurse Practitioner (Women's Health)
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Obstetrics & Gynecology (Obstetrics)
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Obstetrics & Gynecology
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Obstetrics & Gynecology
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Obstetrics & Gynecology
15675 NORTHLINE RD
SOUTHGATE, MI 48195
Obstetrics & Gynecology
15675 NORTHLINE RD
SOUTHGATE, MI 48195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710962675, enumerated as an "individual" on December 13, 2005.

The provider is located at 15675 NORTHLINE RD SOUTHGATE, MI 48195 and the phone number is (734) 282-3600.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: McLaren Health Plan Community, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.