Individual provider Active NPI

Sarah A Miller, APNP

  • Family Nurse Practitioner
  • Green Bay, WI
National Provider Identifier
1306468426
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10174-33 Issued in WI
Practice address
1976 Lime Kiln Rd
Green Bay, WI 54311-4417
Phone
(920) 406-9865
Fax
(920) 406-9867
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 177562-30 WI
Family Nurse Practitioner 363LF0000X 10174-33 WI Primary

Addresses

Primary practice location

1976 Lime Kiln Rd
Green Bay, WI 54311-4417

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7226

Other practice location 1

2015 Shawano Ave
Green Bay, WI 54303-2606
Phone (920) 592-9478

Other practice location 2

3200 Shore Dr
Marinette, WI 54143-4202
Phone (715) 732-1392

Other identifiers 1

IdentifierTypeStateIssuer
F06201107OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS

Other names 1

  • Sarah A Janke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200911002255 WI Practitioner - Nurse Practitioner 9638597339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

2015 Shawano Ave
Green Bay, WI 54303-2606
Phone (920) 592-9478

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
177562-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Jul 20, 2020 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Jul 20, 2020 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc Past Accepting new patients

Locations

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1976 Lime Kiln Rd
Green Bay, WI 54311
Phone (920) 406-9865

704 S Webster Ave
Ste 200
Green Bay, WI 54301
Phone (920) 433-3410

744 S Webster Ave
Fl 7
Green Bay, WI 54301

704 S Webster Ave
Ste 201
Green Bay, WI 54301
Phone (920) 433-3410

2015 Shawano Ave
Howard, WI 54303
Phone (920) 496-8110

3200 Shore Dr
Marinette, WI 54143
Phone (715) 732-8610

Interoperability endpoints

  • Direct secure messaging: smiller926318@direct.emplifyhealth.org

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1306468426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7226",
            "fax_number": "920-445-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 LIME KILN RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114417",
            "telephone_number": "920-406-9865",
            "fax_number": "920-406-9867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Shawano Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543032606",
            "country_code": "US",
            "telephone_number": "920-592-9478",
            "fax_number": "920-592-9479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541434202",
            "country_code": "US",
            "telephone_number": "715-732-1392",
            "fax_number": "715-732-1393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "177562-30",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10174-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F06201107",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "JANKE",
            "middle_name": "A",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.