Sara Lorraine Serota, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209022337 Issued in IL

Practice address

550 W Frontage Rd Ste 3756
Northfield, IL 60093-1289

Phone

(866) 225-8327

NPI assigned

Oct 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Telemedico Physicians SCGroup PAC ID 6901103647, 22 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.7 of 100Reported as group

Quality

69.77

Improvement activities

40

Cost

67.75

Merit-based Incentive Payment System (MIPS)

Final score

94.55 of 100Reported as group

Quality

79.85

Improvement activities

40

Cost

75.36

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Telemedico Physicians SC

  • Cardiovascular Disease Physician
  • Highland Park, IL
  • NPI 1912368150
  Medicare reassignment Care Compare group NPD
• Natarajan Medical Group of Illinois, PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Rosemont, IL
  • NPI 1639430861
  Medicare reassignment NPD
• Telemedico Physicians of Wisconsin SC

  • Cardiovascular Disease Physician
  • Madison, WI
  • NPI 1215414727
  Medicare reassignment NPD

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1366106239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1541",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600651541",
            "telephone_number": "847-386-7740",
            "fax_number": "847-526-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W FRONTAGE RD STE 3756",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931289",
            "telephone_number": "866-225-8327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Bedford St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537033691",
            "country_code": "US",
            "telephone_number": "866-225-8327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEROTA",
        "first_name": "SARA",
        "middle_name": "LORRAINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1177933",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dale Seiler, PHD
• Select Rehabilitation
• Dennis Paul Selvig, PSY.D.
• Matthew Serafin, MD
• Marie-Pierre Sernatinger, LCPC
• Roshni Shah, PSYD
• Nathaly Bassam Shammo
• Lauren J. Shapiro, PSY.D.
• Susan Shapiro, MD
• Sharon Fisch-Reichler, PLLC

• Family Nurse Practitioner in Northfield, IL
• Providers in Northfield, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.