Sarah Anderson
Individual provider Active NPI Physician Assistant · Janesville, WI
NPI 1194411751 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1194411751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 7905 (WI)
- Practice address
- 557 N Washington St
Janesville, WI 53548-2907 - Phone
- (608) 314-2301
- NPI assigned
- Apr 14, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health System Corporation
Practice addresses (Care Compare)
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6508
557 N Washington St
Janesville, WI 53548-2907
Phone (608) 755-7880
Hospital & facility affiliations
- Mercy Health System Corp
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240916000483 | WI | Practitioner - Physician Assistant | 1850832056 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
557 N Washington St
Janesville, WI 53548
Phone (608) 754-6000
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
Interoperability endpoints
- sanderson118697@direct.mhemail.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 7905 | WI | Yes |
Addresses
Primary practice location
557 N Washington St
Janesville, WI 53548-2907
Mailing address
S82W17510 Clearbrook Dr
Muskego, WI 53150-7835
Phone (262) 422-4221
Other practice location 1
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000
Other practice location 2
S82W17510 Clearbrook Dr
Muskego, WI 53150-7835
Phone (262) 422-4221
Other providers in Janesville, WI
- Dryw C Anderson
- Jane E Anderson
- Kaj U Anderson
- Latoya Christina Anderson
- Michelle M Anderson
- Sheree R Anderson
- Sylvia Andrus
- Mark P. Angevine
- Ehteshamul Haque Anjum
- Lindsay A Antczak
All providers in Janesville, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.