Sasha L Moredock, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209013058 Issued in IL

Practice address

287 Park Ave S FL 5
New York, NY 10010-4573

Phone

(888) 553-2823

Fax

(857) 305-0177

NPI assigned

Aug 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sasha.moredock@250181424775172.direct.elationemr.com

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.

• Applebaum Physiatry PLLC

  • Physical Medicine & Rehabilitation Physician
  • Oak Brook, IL
  • NPI 1700598059

  Family

  Medicare reassignment Care Compare group NPD
• Aldad Medical PC

  • Psychiatry Physician
  • Ann Arbor, MI
  • NPI 1174784953
  NPD

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1700252822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 N WOODVIEW AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144559",
            "telephone_number": "309-453-0196",
            "fax_number": "309-453-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 PARK AVE S FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104573",
            "telephone_number": "888-553-2823",
            "fax_number": "857-305-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5111 N Glen Park Place Rd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616144675",
            "country_code": "US",
            "telephone_number": "309-683-5700",
            "fax_number": "309-683-5752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21660 W Field Pkwy",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "IL",
            "postal_code": "600107265",
            "country_code": "US",
            "telephone_number": "309-453-0196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREDOCK",
        "first_name": "SASHA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "350128",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013058",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1016060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Michelle Moreau, PA
• Kayla Marie Moreau
• Khalia-Cheyenne Dayjah Moreau, MD
• Leah Grace Moreau
• Marie Moreau
• Ethan Moreh
• Alvaro D Moreira Castro, PHD
• Marley S Moreira-Rivera, MHC-LP
• Andre Moreira, MD
• Andre Da Luz Moreira, M.D.

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.