Sarah Rae Wickenhauser (NPI# 1760994404, PAC ID# 2860752573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760994404 |
| PAC ID by PECOS | 2860752573 |
| Professional Enrollment ID | I20180126002506 |
| Full Name | Sarah Rae Wickenhauser |
| Organization Legal Name | HSHS MEDICAL GROUP INC |
| Address |
301 N 8th St Springfield IL 62701-1041 |
| Phone Number | 2177576868 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092857821 |
| Number of Group Practice Members | 376 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140053 | ST JOHNS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 301 N 8th St, Springfield, IL 62701-1041 | 2177576868 | HSHS MEDICAL GROUP INC |
| Organization Legal Name | HSHS MEDICAL GROUP INC |
| Physicians | 372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Pulliam | Nurse Practitioner | Hshs Medical Group Inc | 4965 E Lost Bridge Rd, Decatur, IL 62521-5139 |
| Rajinder D Balasuriya | Internal Medicine | Hshs Medical Group Inc | 2801 Mathers Rd, Springfield, IL 62711-7064 |
| Justin Bradley Hill | Family Medicine | Hshs Medical Group Inc | 1116 Hartman Ln, Shiloh, IL 62221-8014 |
| Sahar Yazdani | Family Medicine | Hshs Medical Group Inc | 125 E Plummer Blvd, Chatham, IL 62629-8047 |
| Paula Kay Hubbard | Nurse Practitioner | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Melissa Kay Edwards | Nurse Practitioner | Hshs Medical Group Inc | 2965 N Main St E, Hshs Medical Group Internal Medicine N Decatur, Decatur, IL 62526-4392 |
| Judy M Tonry | Nurse Practitioner | Hshs Medical Group Inc | 1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 |
| Mohammed Iyoob Mohammed Ilyas | General Surgery | Hshs Medical Group Inc | 904 Medical Park Dr, Effingham, IL 62401-2193 |
| Imtiaz H Bangash | Internal Medicine | Hshs Medical Group Inc | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 |
| Krystal Gilb | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Street Address |
301 N 8TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62701-1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorie Ann Sporrer | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Jennifer L Berry | Qualified Audiologist | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Cindy Lee Womack | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Shaylee J Sullivan | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Stacey Linn Waddington | Physician Assistant | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Celine Walker | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Shuja Ahmed | General Surgery | Springfield Clinic LLP | 301 N 8th St, 3rd Floor, Springfield, IL 62701-1041 |
| Patricia Jean Klos | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Valerie A Ray | Qualified Audiologist | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Charlene Jane Young | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary D Danenberger | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Jill R Schindler | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason, 4p57, Springfield, IL 62701-1034 |
| Raja C Maddipoti | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Meredith M Fleming | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Julie C Borjon | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Connie L Robinson | Physician Assistant | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Mark Jung-ching Shen | Cardiac Electrophysiology | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Jennifer Nichelson | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Shankho Ganguli | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Shauna B Vogler | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 619 E Mason St, 4p57, Springfield, IL 62701-1034 |
| Find all physicians in zip 62701 | |||
| City | SPRINGFIELD |
| Zip Code | 62701 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SPRINGFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sarah Rae Wickenhauser.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.