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SOPHIA HOUSE NP
NPI 1609559426
Nurse Practitioner in Milwaukee, WI

Active since August 09, 2023PECOS EnrolledAccepts Medicare Assignment
8905 W LINCOLN AVE STE 505, MILWAUKEE, WI 53227(414) 329-5647 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2023, Oct 27, 2023, Aug 9, 2023 (3 updates tracked since 2023).

About Sophia House Np NPPES

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

SOPHIA HOUSE NP (NPI 1609559426) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (13784) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609559426
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSOPHIA HOUSECredential: NP
Location Address8905 W LINCOLN AVE STE 505Milwaukee, WI 53227-2470
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Phone(414) 329-5647
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 9, 2023
Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
✔ NPI 1609559426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 13784
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8905 W LINCOLN AVE STE 505, Milwaukee, WI 53227
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Other Identifiers 1

Medicaid100253056WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Sophia House Np 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 ID9436504057
PECOS Enrollment IDI20231017000500
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 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

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

ASHLEY A MIKKELSEN NP
Nurse Practitioner
8905 W LINCOLN AVE STE 505
WEST ALLIS, WI 53227
Milwaukee County (414) 329-5647

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 Sophia House's NPI number?

The NPI number for Sophia House is 1609559426. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is Sophia House located?

Sophia House practices at 8905 W Lincoln Ave Ste 505, Milwaukee, WI 53227. The listed phone number is (414) 329-5647.

What is Sophia House's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sophia House enrolled in Medicare?

Yes. Sophia House 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 Sophia House accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Sophia House 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 Sophia House was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.