MRS. SANDRE LEONA CRAIN FNP-BC
NPI 1770093171
Nurse Practitioner - Primary Care in South Holland, IL
About Mrs. Sandre Leona Crain Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SANDRE LEONA CRAIN FNP-BC (NPI 1770093171) is an individual primary care provider in South Holland, Illinois, licensed in Illinois (209.016571) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Sandre Leona Crain Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Sandre Crain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Calumet City, IL 60409
- Reassigned Medicare billing, Illinois enrollment
- 84 clinicians in this Medicare group
Chicago, IL 60628
- Reassigned Medicare billing, Illinois enrollment
- 36 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sandre Crain's NPI number?
The NPI number for Sandre Crain is 1770093171. It was assigned to this individual provider in the NPPES registry on October 11, 2017.
Where is Sandre Crain located?
Sandre Crain practices at 17066 S Park Ave, South Holland, IL 60473. The listed phone number is (708) 882-0532.
What is Sandre Crain's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Sandre Crain enrolled in Medicare?
Yes. Sandre Crain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sandre Crain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandre Crain reassigns Medicare benefits to 2 organizations: Harvey Emergency Physicians, PLLC (Calumet City, IL) and Tca Health Inc Nfp (Chicago, IL). 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 Sandre Crain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandre Crain accept?
Health plans from CareSource (Common Ground Healthcare) list Sandre Crain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sandre Crain was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Sandre Leona Crain, FNP-BC · NPI 1770093171
Primary Care physician in South Holland, Illinois. Individual provider, active in the CMS NPPES registry since October 11, 2017.
## Identity
- **NPI:** 1770093171 (Entity type: Individual)
- **Enumerated:** October 11, 2017
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 209.016571 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17066 S PARK AVE, South Holland, IL 60473-3369
- **Phone:** (708) 882-0532 · **Fax:** (647) 799-2792
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Harvey Emergency Physicians, PLLC (NPI 1184281651, Calumet City, IL); Tca Health Inc Nfp (NPI 1184757353, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1770093171) · Data from the CMS NPPES public registry.