SUMAR ABUSHAQRA
NPI 1023488475
Nurse Practitioner - Family in Sheboygan, WI
About Sumar Abushaqra NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMAR ABUSHAQRA (NPI 1023488475) is an individual family provider in Sheboygan, Wisconsin, licensed in Illinois (209.013305) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hazel Crest, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sumar Abushaqra is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Sumar Abushaqra reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
Chicago, IL 60641
- Reassigned Medicare billing, Illinois enrollment
- 366 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sumar Abushaqra's NPI number?
The NPI number for Sumar Abushaqra is 1023488475. It was assigned to this individual provider in the NPPES registry on September 29, 2015.
Where is Sumar Abushaqra located?
Sumar Abushaqra practices at 3400 Union Ave, Sheboygan, WI 53081. The listed phone number is (920) 802-2100.
What is Sumar Abushaqra's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sumar Abushaqra enrolled in Medicare?
Yes. Sumar Abushaqra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sumar Abushaqra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumar Abushaqra reassigns Medicare benefits to 3 organizations: Aurora Medical Group, Inc. (Sheboygan, WI), Lutheran General Hospital (Park Ridge, IL) and Physicians Immediate Care North Chicago LLC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sumar Abushaqra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sumar Abushaqra accept?
Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Sumar Abushaqra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sumar Abushaqra was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sumar Abushaqra · NPI 1023488475
Family physician in Sheboygan, Wisconsin. Individual provider, active in the CMS NPPES registry since September 29, 2015.
## Identity
- **NPI:** 1023488475 (Entity type: Individual)
- **Enumerated:** September 29, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.013305 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 UNION AVE, Sheboygan, WI 53081-8426
- **Phone:** (920) 802-2100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI); Lutheran General Hospital (NPI 1801809306, Park Ridge, IL); Physicians Immediate Care North Chicago LLC (NPI 1205814118, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 24, 2026
- **Other identifiers:** Medicaid 1002666833 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1023488475) · Data from the CMS NPPES public registry.