Individual provider Active NPI

Sarah A Radke, NP

  • Nurse Practitioner
  • Whitefish Bay, WI
National Provider Identifier
1477860955
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4148-33 Issued in WI
Practice address
325 E Silver Spring Dr
Whitefish Bay, WI 53217-5222
Phone
(414) 247-4800
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4148-33 WI Primary

Addresses

Primary practice location

325 E Silver Spring Dr
Whitefish Bay, WI 53217-5222

Mailing address

325 E Silver Spring Dr
Whitefish Bay, WI 53217-5222
Phone (414) 247-4800

Other identifiers 1

IdentifierTypeStateIssuer
1477860955MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address sradke24903@direct.myadvocateaurora.org

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
I20101108000214 WI Practitioner - Nurse Practitioner 9335334192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians

Practice addresses (Care Compare)

325 E Silver Spring Dr
Whitefish Bay, WI 53217-5222
Phone (414) 247-4800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management, SC CurrentSince Apr 27, 2015 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Mar 6, 2017 Accepting new patients
Advanced Pain Management SC CurrentSince Apr 27, 2015 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Mar 6, 2017 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Aurora Quick Care, LLC Nurse Practitioner PastSince Jun 28, 2017 Accepting new patients

Locations

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

4448 W Loomis Rd
Ste 202
Milwaukee, WI 53220
Phone (414) 218-8096

325 E Silver Spring Dr
Whitefish Bay, WI 53217
Phone (414) 247-4800

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1477860955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E SILVER SPRING DR",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175222",
            "telephone_number": "414-247-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E SILVER SPRING DR",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175222",
            "telephone_number": "414-247-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADKE",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4148-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477860955",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "325 E Silver Spring Dr",
            "city": "Whitefish Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532175222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sradke24903@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "325 E Silver Spring Dr",
            "city": "Whitefish Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532175222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitefish Bay, WI

Sources for this page

Verify at the official NPI Registry.