SANDRA L. ENGEMANN (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1992780977

Certified Registered Nurse Anesthetist

SANDRA L. ENGEMANN (C.R.N.A.) is a healthcare provider. based in Green bay, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials C.R.N.A.. The NPI Number for SANDRA L. ENGEMANN (C.R.N.A.) is 1992780977

Main info

Female

31 Years Of Experience

Accepts Medicare Assignment

Name

SANDRA L. ENGEMANN (C.R.N.A.)

NPI

1992780977

Phone

(920) 433-3500

Address

744 S WEBSTER AVE

Enumeration Date

13 December 2005

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9202232000

Graduation Year

1995 (31 years ago)

PAC ID

0143213694

Group Practice PAC ID

8628103777

Professional Enrollment ID

I20040408000445

Address ID

WI549047944OS500XXRDXX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience45

Completeness75

Years active:20State licenses:0Digital endpointsOther names

1,141 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

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Provider Addresses for SANDRA L. ENGEMANN (C.R.N.A.)

Bellin Hospital Green Bay, 744, South Webster Avenue, Astor, Green Bay, Brown County, Wisconsin, 54305, United States
GREEN BAY, WI 543013505
Phone: (920) 433-3500
Type: Mailing
Ascension Saint Elizabeth Hospital, 1506, South Oneida Street, Appleton, Outagamie County, Wisconsin, 54915, United States
APPLETON, WI 54915
Phone: (920) 433-3500
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: 2024-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20040408000445	I	Certified Registered Nurse Anesthetist (Crna)	WI	TBD
I20240312001978	I	Certified Registered Nurse Anesthetist (Crna)	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
00142	Anesthesia for lens surgery	19	19	$0

View full utilization report →

Insurance plans in this area (ZIP 54301)

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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: 8628103777View full group profile

Name	Specialty	State
DR. AARON DANIEL KALLSNICK (M.D.)	A N E S T H E S I O L O G Y	IL
MR. MATTHEW R MUELLER (CRNA)	Certified Registered Nurse Anesthetist (Crna)	WI
JAMES P MANDERLE (MD)	Certified Registered Nurse Anesthetist (Crna)	GA
STAFFEL G OATES (CRNA)	Certified Registered Nurse Anesthetist (Crna)	PA
SAMUEL A. SOUTHARD (CRNA)	Certified Registered Nurse Anesthetist (Crna)	WI
KRISTOFFER L HAGEN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	WI
DONNA J HORNACEK (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH
DR. FRITZ-JOSE EDWARDS CHANDLER (M.D.)	A N E S T H E S I O L O G Y	OH
SLOBODAN ZEC (MD)	Pain Management, Anesthesiology	IL
DR. ROBERT MORTON FARNEY (M.D.)	A N E S T H E S I O L O G Y	IL

Reviews

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Frequently asked questions

Is SANDRA L. ENGEMANN (C.R.N.A.) listed with a National Provider Identifier?

Yes — SANDRA L. ENGEMANN (C.R.N.A.) has NPI 1992780977 on file in the registry.

Would SANDRA L. ENGEMANN (C.R.N.A.) appear as active to a payer?

You can treat SANDRA L. ENGEMANN (C.R.N.A.) as active for directory purposes; confirm clinical privileges separately.

How would a patient describe SANDRA L. ENGEMANN (C.R.N.A.)'s focus?

For SANDRA L. ENGEMANN (C.R.N.A.), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

What locale is associated with SANDRA L. ENGEMANN (C.R.N.A.)?

Directory geography for SANDRA L. ENGEMANN (C.R.N.A.) centers on Green Bay, Wisconsin.

What does 2 location(s) imply?

2 practice locations appear in the available data.