SUE YARNG SACDALAN (MSN, RN, NP-C) – Nurse Practitioner, NPI 1265979058

SUE YARNG SACDALAN (MSN, RN, NP-C) is a healthcare provider. based in Shelby twp, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, RN, NP-C. They hold a License No. 4704216287 (MI). The NPI Number for SUE YARNG SACDALAN (MSN, RN, NP-C) is 1265979058

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SUE YARNG SACDALAN (MSN, RN, NP-C)
NPI
1265979058
Phone
(248) 891-5812
Address
9044 OAKRIDGE TRL
Enumeration Date
31 January 2017
Last Update Date
1 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2313985000
Graduation Year
2016 (10 years ago)
PAC ID
0244517118
Group Practice PAC ID
5395896849
Professional Enrollment ID
I20170502000295
Address ID
MI496842345TR1105XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for SUE YARNG SACDALAN (MSN, RN, NP-C)

  • 9044 OAKRIDGE TRL

    SHELBY TWP, MI 483171824

    Phone: (248) 891-5812

    Type: Mailing

  • 1375 N MAIN ST

    LAPEER, MI 484461350

    Phone: (810) 667-5500

    Type: Location

  • 1100 E Michigan Ave

    Grayling, MI 497381312

    Phone: (989) 348-5461

    Type: Location

  • 71, Michelson Road, Rochester Hills, Oakland County, Michigan, 48307, United States

    ROCHESTER HILLS, MI 483075332

    Phone: (248) 844-8046

    Type: Mailing

  • McLaren Northern Michigan, 416, Connable Avenue, Petoskey, Emmet County, Michigan, 49770, United States

    PETOSKEY, MI 497702212

    Phone: (800) 248-6777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-05-02

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
I20170502000295INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48317)

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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: 5395896849View full group profile
NameSpecialtyState
Nurse PractitionerCA
Hospitalist, Internal MedicineLA
Hospitalist, Internal MedicineOH
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Internal Medicine, Hospitalist, Internal MedicineWA
Hospitalist, Internal MedicineMI
Internal MedicineUT
Physician AssistantOH

Reviews

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Frequently asked questions

Is SUE YARNG SACDALAN (MSN, RN, NP-C) listed with a National Provider Identifier?
Yes — SUE YARNG SACDALAN (MSN, RN, NP-C) has NPI 1265979058 on file in the registry.
Is SUE YARNG SACDALAN (MSN, RN, NP-C) still an active registrant?
SUE YARNG SACDALAN (MSN, RN, NP-C) carries an active NPI according to the public dataset.
What expertise is attributed to SUE YARNG SACDALAN (MSN, RN, NP-C)?
SUE YARNG SACDALAN (MSN, RN, NP-C)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Michigan is SUE YARNG SACDALAN (MSN, RN, NP-C) registered?
Use Shelby Twp, Michigan as the headline location for SUE YARNG SACDALAN (MSN, RN, NP-C) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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