Active NPI
Sara K Nixon, M.D.
- Family Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 66522-20
- Practice address
- 1032 S Cesar E Chavez Dr
Milwaukee, WI 53204 - Phone
- (414) 672-1353
- Fax
- (414) 672-4265
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 66522-20 | WI | Primary |
Addresses
Primary practice location
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
Mailing address
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone (414) 672-1353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659767416 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rush Medical College of Rush University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1504 S Albany Ave
Chicago, IL 60623-2209
Phone (312) 666-3494
1701 W Superior St
Chicago, IL 60622-5646
Phone (312) 666-3494
2323 Grand Ave
Waukegan, IL 60085-3312
Phone (847) 666-3494
Hospital & facility affiliations
- Northwestern Lake Forest Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66522-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Family Health Center Inc | Current | Accepting new patients | |
| Sixteenth Street Community Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| 16TH Street Community Health Center Inc. | Family Medicine | Current | Accepting new patients |
| Erie Family Health Center, Inc | Current | Accepting new patients | |
| Sixteenth Street Community Health Centers, Inc. | Current | Accepting new patients | |
| Erie Family Health Center Inc | Current | Accepting new patients | |
| Sixteenth Street Community Health Centers, Inc. | Past | Accepting new patients |
Locations
1701 W Superior St
#2
Chicago, IL 60622
1504 S Albany Ave
Chicago, IL 60623
1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381
1701 W Superior St
Fl 2
Chicago, IL 60622
Phone (323) 361-2122
1701 W Superior St
Chicago, IL 60622
Phone (312) 432-7392
1635 W National Ave
Milwaukee, WI 53204
Phone (262) 408-5094
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
2906 S 20th St
Milwaukee, WI 53215
Phone (414) 385-8800
4570 S 27th St
Milwaukee, WI 53221
Phone (414) 325-8720
1337 S Cesar E Chavez Dr
Milwaukee, WI 53204
Phone (414) 672-1354
309 E North St
Waukesha, WI 53188
Phone (262) 408-2530
Interoperability endpoints
- snixon679018@direct.ochin.org
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1760499545
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1417912999
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1316587439
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1649559642
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1548062318
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1700144243
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1821517681
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1659767416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 S CESAR E CHAVEZ DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532042203",
"telephone_number": "414-672-1353",
"fax_number": "414-672-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 S CESAR E CHAVEZ DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53204",
"telephone_number": "414-672-1353",
"fax_number": "414-672-4265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "SARA",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "66522-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659767416",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.