Individual provider Active NPI

Sarah Nicole Hylinski, FNP

  • Nurse Practitioner
  • Kenosha, WI
National Provider Identifier
1730751918
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11084-33 Issued in WI
Practice address
5021 Washington Rd
Kenosha, WI 53144-4292
Phone
(262) 654-6770
Fax
(262) 654-6727
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 177717-30 WI
Nurse Practitioner 363L00000X 11084-33 WI Primary

Addresses

Primary practice location

5021 Washington Rd
Kenosha, WI 53144-4292

Mailing address

9115 225TH Ave
Salem, WI 53168-2301
Phone (262) 914-5122

Other identifiers 2

IdentifierTypeStateIssuer
11084-33OtherWIADVANCE PRACTICE NURSE PRESCRIBER LICENSE NUMBER
177714-30OtherWIREGISTERED NURSE LICENSE NUMBER

Other names 1

  • Sarah Nicole Hagen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah@wisnova.com Health Information Exchange (HIE)

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
I20260116003212 WI Practitioner - Nurse Practitioner 1850878190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10220 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1946
Phone (262) 652-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
177717-30WIMDRegistered Nurse
11084-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Alliance, Inc. CurrentSince Sep 25, 2025 Accepting new patients

Organizations & group practices 1

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1730751918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 225TH AVE",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531682301",
            "telephone_number": "262-914-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444292",
            "telephone_number": "262-654-6770",
            "fax_number": "262-654-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYLINSKI",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "177717-30",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "11084-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE NURSE PRESCRIBER LICENSE NUMBER",
            "identifier": "11084-33",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE NUMBER",
            "identifier": "177714-30",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah@wisnova.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5021 Washington Rd",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531444292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HAGEN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.