Sandra A. Boerner, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4634-33 Issued in WI

Practice address

N143W6515 Pioneer Rd
Cedarburg, WI 53012-2705

Phone

(262) 377-6933

Fax

(262) 376-2495

NPI assigned

Oct 5, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sacred Heart Rehabilitation Institute, Inc.

  dba Ascension Sacred Heart Rehabilitation Hospital

  • Rehabilitation Hospital
  • Mequon, WI
  • NPI 1508920356
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093099269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N PORT WASHINGTON RD, RM 121",
            "address_2": "ATTN: PALLIATIVE CARE PROGRAM",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "53097",
            "telephone_number": "262-243-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N143W6515 PIONEER RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122705",
            "telephone_number": "262-377-6933",
            "fax_number": "262-376-2495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 N Port Washington Rd, Rm 121",
            "address_2": "ATTN: Palliative Care Program",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "53097",
            "country_code": "US",
            "telephone_number": "262-243-8453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOERNER",
        "first_name": "SANDRA",
        "middle_name": "A.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "4634-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Bina
• Anita A Birkemeier, RN
• Blake Dialysis LLC (Mill Street HomeTraining)
• Alexis Blenke
• Carolyn M Boatman, DIPLAC, RN
• Sally Lynn Bohlmann, PTA
• Justin Paul Braun, DDS
• Sarah J Britton, LPC
• Jay Timothy Brogelman
• Joanne Buettner, PTA

• Family Nurse Practitioner in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.