Individual provider Active NPI

Sarah Emma O'Rourke, NP

  • Nurse Practitioner
  • Manitowoc, WI
National Provider Identifier
1992563357
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
14975-33 Issued in WI
Practice address
4127 Thunder Ridge Rd
Manitowoc, WI 54220-8874
Phone
(320) 761-6964
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 14975-33 WI Primary

Addresses

Primary practice location

4127 Thunder Ridge Rd
Manitowoc, WI 54220-8874

Mailing address

4127 Thunder Ridge Rd
Manitowoc, WI 54220-8874
Phone (320) 761-6964

Other practice location 1

4127 Thunder Ridge Rd
Manitowoc, WI 54220-8874
Phone (320) 761-6964

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
I20240529000520 WI Practitioner - Nurse Practitioner 5799127395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Spine and Pain SCGroup PAC ID 0345665469, 19 clinicians
Yusuf Salah LLCGroup PAC ID 3577895176, 45 clinicians

Practice addresses (Care Compare)

2595 Development Dr
Suite 150
Green Bay, WI 54311-4288
Phone (414) 455-1153

3920 N Green Bay Rd
Caledonia, WI 53404-1416
Phone (262) 639-5050

Hospital & facility affiliations

  • Door County Medical Center Hospital, Sturgeon Bay, WI, CCN 521358
  • St Vincent Hospital Hospital, Green Bay, WI, CCN 520075
  • St Marys Hospital Medical Ctr Hospital, Green Bay, WI, CCN 520097

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Spine and Pain SC CurrentSince Apr 18, 2024 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Apr 18, 2024 Accepting new patients
Yusuf Salah LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

6321 Dempster St
Morton Grove, IL 60053

Dept CH 17057
Palatine, IL 60055

1616 N Casaloma Dr
#100
Appleton, WI 54913

3920 N Green Bay Rd
Caledonia, WI 53404
Phone (262) 321-7164

2595 Development Dr
Ste 150
Green Bay, WI 54311
Phone (888) 901-7246

1249 W Liebau Rd
Ste 200
Mequon, WI 53092
Phone (833) 821-7246

2124 Kohler Memorial Dr
Ste 110
Sheboygan, WI 53081
Phone (833) 821-7246

2607 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 446-9981

N14W23800 Stone Ridge Dr
Ste 120
Waukesha, WI 53188

959 N Mayfair Rd
Ste 100
Wauwatosa, WI 53226
Phone (414) 955-7246

1000 Gateway Ct
Ste 100
West Bend, WI 53095

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1992563357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 THUNDER RIDGE RD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542208874",
            "telephone_number": "320-761-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 THUNDER RIDGE RD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542208874",
            "telephone_number": "320-761-6964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4127 Thunder Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Manitowoc",
            "state": "WI",
            "postal_code": "542208874",
            "country_code": "US",
            "telephone_number": "320-761-6964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "SARAH",
        "middle_name": "EMMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "14975-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

Verify at the official NPI Registry.