SARA J AERTS NP NPI 1750628970

NPI Information

NPI: 1750628970
Provider Name: SARA J AERTS, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1580 COMMANCHE AVE
GREEN BAY, WI
ZIP 54313
Phone: (920) 435-8326
Get Directions

Sara J Aerts, NP is an adult health nurse practitioner in Green Bay, WI with 12 years of experience. Sara J Aerts, NP NPI is 1750628970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1580 COMMANCHE AVE
GREEN BAY, WI
ZIP 54313-751
Phone: (920) 435-8326
Fax: (920) 738-6435

The NPI 1750628970 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/8/2013 and was last updated on 5/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SA2200X	Clinical Nurse Specialist	Adult Health	5195-33	WISCONSIN	No
2	363LA2200X	Nurse Practitioner	Adult Health	5195-33	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A1112015	OTHER		AMERICAN ACADEMY OF NURSE PRACTITIONERS
2	1750628970	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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