MS. FATEMEH SADRY APNP
NPI 1245042704
Nurse Practitioner - Family in Kenosha, WI

Active since January 22, 2025PECOS EnrolledAccepts Medicare Assignment
10222 74TH ST, KENOSHA, WI 53142(262) 697-9200 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, Mar 1, 2025 (2 updates tracked since 2025).

About Ms. Fatemeh Sadry Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. FATEMEH SADRY APNP (NPI 1245042704) is an individual family provider in Kenosha, Wisconsin, licensed in Wisconsin (15359-33) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and maintains a secondary practice location in Shorewood.

NPPES Registry Identity

NPI1245042704
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. FATEMEH SADRYCredential: APNP
Location Address10222 74TH STKenosha, WI 53142-6810
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 22, 2025
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1245042704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 15359-33
10222 74TH ST, Kenosha, WI 53142

Secondary Practice Location 1

Location 13955 N Murray Ave Apt 104Shorewood, WI 53211-2323 · Phone (215) 680-0673

Other Identifiers 1

Medicaid100385290WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Fatemeh Sadry Apnp 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.

PECOS PAC ID6305364647
PECOS Enrollment IDI20250520001452
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
10222 74TH ST, SUITE 211
KENOSHA, WI 53142
Physical Therapist
10222 74TH ST, SUITE 211
KENOSHA, WI 53142
Occupational Therapist
10222 74TH ST, SUITE 211
KENOSHA, WI 53142
Occupational Therapist
10222 74TH ST, 211
KENOSHA, WI 53142
Physical Therapist
10222 74TH ST, SUITE 211
KENOSHA, WI 53142
Nurse Practitioner
10222 74TH ST
KENOSHA, WI 53142

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 Fatemeh Sadry's NPI number?

The NPI number for Fatemeh Sadry is 1245042704. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Where is Fatemeh Sadry located?

Fatemeh Sadry practices at 10222 74th St, Kenosha, WI 53142. The listed phone number is (262) 697-9200.

What is Fatemeh Sadry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Fatemeh Sadry enrolled in Medicare?

Yes. Fatemeh Sadry 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.

What insurance does Fatemeh Sadry accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Fatemeh Sadry 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.

Is Fatemeh Sadry affiliated with any hospitals?

According to CMS data, Fatemeh Sadry is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Fatemeh Sadry was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.