SANDRA A. BOERNER (NPI# 1093099269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093099269 |
| Entity Type | Individual |
| Full Name | SANDRA A. BOERNER |
| Credential | APNP |
| Practice Address |
N143w6515 Pioneer Rd Cedarburg WI 53012-2705 |
| Mailing Address |
1311 N Port Washington Rd, Rm 121 Attn: Palliative Care Program Mequon WI 53097 |
| Practice Telephone | 2623776933 |
| Practice Fax Number | 2623762495 |
| Mailing Telephone | 2622438453 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4634-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1311 N Port Washington Rd, Rm 121, Attn: Palliative Care Program, Mequon, WI 53097 | 2622438453 |
| Street Address |
N143W6515 PIONEER RD |
| City | CEDARBURG |
| State | WI |
| Zip Code | 53012-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417920828 | Melanie M. Thompson | Family Medicine | N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 | 2006-02-08 |
| 1114319100 | Kristin A Lohr | Nurse Practitioner | N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 | 2015-02-27 |
| 1053637439 | Anne Hastings Lincoln | Pediatrics | N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 | 2010-04-11 |
| 1811050651 | Elizabeth Sehnert | Physician Assistant | N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 | 2006-12-19 |
| 1386721710 | Melanie Plante | Nurse Practitioner | N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 | 2006-11-01 |
| 1801973177 | Sharon Waski | Nurse Practitioner | N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 | 2006-11-01 |
| 1740388099 | Edwin Montgomery | Pediatrics | N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 | 2006-09-20 |
| 1164440574 | Elizabeth Hagen | Pediatrics | N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 | 2006-07-17 |
| 1598783995 | Christopher Budny | Internal Medicine | N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 | 2006-07-17 |
| 1699793000 | Daniel A Hagerman | Pediatrics | N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639565351 | Angela Marie Phillips | Counselor | 8750 Western Rd, Cedarburg, WI 53012 | 2015-04-09 |
| 1922403641 | Nickolas Wimble | Hearing Instrument Specialist | W62n244 Washinton St, #104, Cedarburg, WI 53012 | 2014-10-23 |
| 1285902429 | Mary B Pistiner | Pharmacist | W62 N190 Washington Ave, Walgreens, Cedarburg, WI 53012 | 2011-12-02 |
| 1285931360 | Accuquest Hearing Centers | Clinic/Center | N54w65 Mill Street, Ste 800, Cedarburg, WI 53012 | 2011-02-25 |
| 1417283532 | Laura Egan Cutler | Speech-Language Pathologist | N87 W6334 Brookdale Dr, Cedarburg, WI 53012 | 2009-10-23 |
| 1790945053 | Diane M Kerkman | Licensed Practical Nurse | W63 N14264 Washington Ave #13, Cedarburg, WI 53012 | 2008-06-11 |
| 1346416856 | Robert H Schwengel | Dentist | W62n179 Washington Ave, Cedarburg, WI 53012 | 2008-05-05 |
| 1174710479 | Assisted Living Concepts Inc | Assisted Living Facility | W56 N225 Mckinley Blvd, Cedarburg, WI 53012 | 2007-10-01 |
| 1699968016 | Jay Timothy Brogelman | Occupational Therapy Assistant | N27 W5707 Lincoln Blvd., Cedar Springs Health and Rehabilitation Center, Cedarburg, WI 53012 | 2007-08-20 |
| 1053517722 | Bruce J Stevens | Dentist | N52 W6295 Mill Street, Cedarburg, WI 53012 | 2007-06-21 |
| Find all providers in zip 53012 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902153844 | Jennifer Kristin Prom | Nurse Practitioner | 9025 Oakridge Ln, Cedarburg, WI 53012-9388 | 2012-08-09 |
| 1235793779 | Rachel J Roesler | Nurse Practitioner | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 | 2019-04-30 |
| 1114319100 | Kristin A Lohr | Nurse Practitioner | N143w6515 Pioneer Rd, Cedarburg, WI 53012-2705 | 2015-02-27 |
| 1841542636 | Marsha Correen Hansen | Nurse Practitioner | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 | 2012-10-04 |
| 1063696516 | Therese L. Jaeckle | Nurse Practitioner | W62n248 Washington Ave, Cedarburg, WI 53012-2768 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.