SANDRA DEPREE (NP) – Nurse Practitioner, NPI 1265475123

SANDRA DEPREE (NP) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704130034 (MI). The NPI Number for SANDRA DEPREE (NP) is 1265475123

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA DEPREE (NP)
NPI
1265475123
Phone
Not provided
Address
100 MICHIGAN ST NE
Enumeration Date
14 June 2006
Last Update Date
22 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
1991 (35 years ago)
PAC ID
7012083041
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20080827000492
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
sdepreenp7702@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for SANDRA DEPREE (NP)

  • Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • Felch Street, Zeeland Charter Township, Ottawa County, Michigan, 49464, United States

    ZEELAND, MI 494642609

    Phone: (616) 748-2850

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: Astellas Pharma US Inc ($83).

Total Amount

$83

General + Research + Ownership

Payments

1

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$83
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080827000492INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1515$0
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I use this page to confirm SANDRA DEPREE (NP)'s NPI?
Yes. SANDRA DEPREE (NP) is listed with NPI 1265475123 in the public NPI dataset.
Does the file indicate SANDRA DEPREE (NP) is practicing under active NPI?
Directory data currently reports SANDRA DEPREE (NP) as active.
What healthcare role does SANDRA DEPREE (NP) hold?
Scheduling teams often label SANDRA DEPREE (NP) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does SANDRA DEPREE (NP) serve?
SANDRA DEPREE (NP)'s listing highlights Grand Rapids, Michigan; more addresses can appear in NPPES.
Is the information about SANDRA DEPREE (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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