Individual provider Active NPI

Sarah M Miller, PA-C

  • Physician Assistant
  • Kenosha, WI
National Provider Identifier
1730463738
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2863-23 Issued in WI
Practice address
10400 75TH St
Kenosha, WI 53142-7884
Phone
(262) 948-7031
NPI assigned
Oct 10, 2011
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2863-23 WI Primary

Addresses

Primary practice location

10400 75TH St
Kenosha, WI 53142-7884

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

W3985 County Road Nn
Elkhorn, WI 53121-4337
Phone (262) 741-2014

Other practice location 2

248 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-8100

Other practice location 3

6611 Spring St
Mount Pleasant, WI 53406-2632
Phone (262) 504-3160

Other practice location 4

25320 75th St
Salem, WI 53168-9684
Phone (262) 843-2336

Other practice location 5

5700 6th Ave
Kenosha, WI 53140-4104
Phone (262) 997-9573

Other identifiers 3

IdentifierTypeStateIssuer
200970370AMedicaidKS
2863-23OtherWISTATE LICENSURE
100017946MedicaidWI

Other names 1

  • Sarah M Heinzen Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address smiller261476@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20111104000656 WI Practitioner - Physician Assistant 0143493205 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

1550 Hobbs Dr
Delavan, WI 53115-2027
Phone (262) 740-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Medical Clinic, LLC CurrentSince Apr 27, 2020 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Apr 27, 2020 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Apr 27, 2020 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Apr 27, 2020 Accepting new patients
Froedtert South, Inc. CurrentSince Jun 20, 2016 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Apr 27, 2020 Accepting new patients
Phillips County Hospital Physician Assistant Past Accepting new patients
Modern Apothecary, LLC PastSince Feb 19, 2023 Accepting new patients
United Occupational Medicine and Walk in Services, LLC Physician Assistant Past Accepting new patients
Ma Clinical Services LLC PastSince Feb 23, 2025 Accepting new patients
Kenosha Pathology Consultants Past Accepting new patients

Locations

248 McHenry St
Burlington, WI 53105
Phone (262) 767-8000

201 E Morrissy Dr
Elkhorn, WI 53121
Phone (262) 723-3100

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

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

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

3400 Market Ln
Kenosha, WI 53144
Phone (262) 551-4600

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

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

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

6611 Spring St
Mount Pleasant, WI 53406
Phone (262) 504-3100

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

25320 75th St
Salem, WI 53168
Phone (262) 243-2336

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/88f6f0ad-680b-460f-ba7c-9dd496dece04/

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1730463738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427884",
            "telephone_number": "262-948-7031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W3985 County Road Nn",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "WI",
            "postal_code": "531214337",
            "country_code": "US",
            "telephone_number": "262-741-2014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "248 McHenry St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "WI",
            "postal_code": "531051828",
            "country_code": "US",
            "telephone_number": "262-767-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6611 Spring St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "534062632",
            "country_code": "US",
            "telephone_number": "262-504-3160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25320 75th St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "WI",
            "postal_code": "531689684",
            "country_code": "US",
            "telephone_number": "262-843-2336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531404104",
            "country_code": "US",
            "telephone_number": "262-997-9573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SARAH",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2863-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200970370A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "2863-23",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100017946",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smiller261476@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "201 E Morrissy Dr",
            "city": "Elkhorn",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531214395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "201 E Morrissy Dr",
            "city": "Elkhorn",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531214395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HEINZEN",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.