Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Sandra Kay Raby, GNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1043472509

Mrs. Sandra Kay Raby, GNP-BC is a Nurse Practitioner in Jackson, Michigan. Qualified in 1992, 34 years ago. Licensed in Michigan.

Years since qualifying
34
Licensed in
MI
In the registry since
2008
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Practice location Address checks out

100 E Michigan Ave Ste 102
Jackson, MI 49201-1406
Phone: (517) 205-1731
Fax: (517) 205-7649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704138831 (MI)

Record details

NPI number1043472509
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP-BC
Sole proprietorNo
NPI enumeratedJune 26, 2008
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients97
Services billed 553 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Other providers in Jackson