JACQUELINE KAYE SANDWIDI DO
NPI 1831839216
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since March 31, 2022PECOS EnrolledAccepts Medicare Assignment
1121 E NORTH AVE, MILWAUKEE, WI 53212(414) 267-6502 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Kaye Sandwidi Do NPPES

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

JACQUELINE KAYE SANDWIDI DO (NPI 1831839216) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1831839216
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELINE KAYE SANDWIDICredential: DO
Location Address1121 E NORTH AVEMilwaukee, WI 53212-3515
Mailing Address1121 E North AveMilwaukee, WI 53212-3515
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
NPI 1831839216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1121 E NORTH AVE, Milwaukee, WI 53212

Other Names 1

Former Name (1)Jacqueline Kaye Carlson

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Kaye Sandwidi Do 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.

PECOS PAC ID8921518143
PECOS Enrollment IDI20250606003079
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.

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.

Case Manager/Care Coordinator
1121 E NORTH AVE, COLUMBIA ST MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212
Family Medicine
1121 E NORTH AVE
MILWAUKEE, WI 53212
Family Medicine
1121 E NORTH AVE, COLUMBIA-ST MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212
Family Medicine
1121 E NORTH AVE
MILWAUKEE, WI 53212
Nurse Practitioner (Family)
1121 E NORTH AVE
MILWAUKEE, WI 53212
Family Medicine
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY PRACTICE
MILWAUKEE, WI 53212
Family Medicine
1121 E NORTH AVE, COLUMBIA-ST. MARY'S FAMILY MEDICINE
MILWAUKEE, WI 53212
Family Medicine
1121 E NORTH AVE
MILWAUKEE, WI 53212

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 Jacqueline Sandwidi's NPI number?

The NPI number for Jacqueline Sandwidi is 1831839216. It was assigned to this individual provider in the NPPES registry on March 31, 2022. The provider is also known as Jacqueline Kaye Carlson.

Where is Jacqueline Sandwidi located?

Jacqueline Sandwidi practices at 1121 E North Ave, Milwaukee, WI 53212. The listed phone number is (414) 267-6502.

What is Jacqueline Sandwidi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacqueline Sandwidi enrolled in Medicare?

Yes. Jacqueline Sandwidi 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Sandwidi was last updated on March 31, 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.