MOLLY ELIZABETH SANDGREN (APNP) – Family Nurse Practitioner, NPI 1669981296
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,033 NURSE PRACTITIONER in WI
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Provider Addresses for MOLLY ELIZABETH SANDGREN (APNP)
610, East Taylor Street, Prairie du Chien, Crawford County, Wisconsin, 53821, United States
PRAIRIE DU CHIEN, WI 538212109
Phone: (608) 326-6466
Type: Location
101 W UNIVERSITY AVE
CHAMPAIGN, IL 618203981
Phone: (217) 366-6104
Type: Location
1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States
LA CROSSE, WI 546015429
Phone: (608) 782-7300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $899.
Total Amount is formed as General ($899) + Research ($0) + Ownership ($0) = $899.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($249).
Total Amount
$899
General + Research + Ownership
Payments
12
Total payment records
General Amount
$899
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $249 |
| AstraZeneca Pharmaceuticals LP | $157 |
| ITI, Inc. | $123 |
| Amgen Inc. | $120 |
| Myriad Women's Health, Inc. | $103 |
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: 2022-03-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220308002947 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 131 | 86 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 131 | 95 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 83 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 45 | 40 | $0 |
| 83036 | Hemoglobin a1c level | 44 | 36 | $0 |
Insurance plans in this area (ZIP 53821)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IN | |
| - | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| - | IL |
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