SARAH RAE WICKENHAUSER FNP-C, PMHNP
NPI 1760994404
Nurse Practitioner in Atlanta, GA

Q: What is Sarah Wickenhauser's NPI number?

The NPI number for Sarah Wickenhauser is 1760994404. It was assigned to this individual provider in the NPPES registry on November 3, 2017.

Q: What is Sarah Wickenhauser's specialty?

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

Active since November 03, 2017PECOS EnrolledAccepts Medicare Assignment

PO BOX 748465, ATLANTA, GA 30374(855) 284-7483(617) 807-0958 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2026, Dec 30, 2021, Oct 3, 2019 and 2 more (5 updates tracked since 2017).

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About Sarah Rae Wickenhauser Fnp-c, Pmhnp NPPES

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

SARAH RAE WICKENHAUSER FNP-C, PMHNP (NPI 1760994404) is an individual nurse practitioner in Atlanta, Georgia, licensed in Illinois (209016863) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1760994404

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSARAH RAE WICKENHAUSERCredential: FNP-C, PMHNP

Location AddressPO BOX 748465Atlanta, GA 30374-8465

Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483 · Fax (617) 807-0958

Phone(855) 284-7483

Fax(617) 807-0958

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 3, 2017

Last NPPES UpdateMarch 23, 20265 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1760994404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209016863

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.

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 209016863 (IL)

PO BOX 748465, Atlanta, GA 30374

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Secondary Practice Locations 2

Location 15220 6th Street Frontage Rd ESpringfield, IL 62703-5735 · Phone (217) 993-0998 · Fax (217) 529-4228

Location 2416 Main St Ste 601Peoria, IL 61602-3126 · Phone (217) 341-6550 · Fax (217) 484-8814

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Sarah Rae Wickenhauser Fnp-c, Pmhnp 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 ID2860752573

PECOS Enrollment IDI20180126002506

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.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Wickenhauser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thriveworks Telepsychiatry - Illinois

582 mi

Mental Health

770 N HALSTED ST STE 201B
Chicago, IL 60642

Reassigned Medicare billing, Illinois enrollment
18 clinicians in this Medicare group

NPI 1154099620 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30374 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 20

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

LANIA SH'ARRON BROWN

Counselor (Professional)