SARA LEE FORDHAM
NPI 1871141465
Nurse Practitioner - Family in Dixon, IL
About Sara Lee Fordham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA LEE FORDHAM (NPI 1871141465) is an individual family provider in Dixon, Illinois, licensed in Illinois (209019936) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and maintains a secondary practice location in Dixon.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Sara Lee Fordham 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Katherine Shaw Bethea Hospital
Acute Care Hospitals · Dixon, ILCgh Medical Center
Acute Care Hospitals · Sterling, ILUw Health
Acute Care Hospitals · Rockford, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Sara Fordham's NPI number?
The NPI number for Sara Fordham is 1871141465. It was assigned to this individual provider in the NPPES registry on August 28, 2019.
Where is Sara Fordham located?
Sara Fordham practices at 403 E 1st St, Dixon, IL 61021. The listed phone number is (815) 288-5531.
What is Sara Fordham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sara Fordham enrolled in Medicare?
Yes. Sara Fordham 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 Sara Fordham accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Quartz list Sara Fordham 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 Sara Fordham affiliated with any hospitals?
According to CMS data, Sara Fordham is affiliated with Katherine Shaw Bethea Hospital, Cgh Medical Center and Uw Health.
When was this NPI record last updated?
The NPPES record for Sara Fordham was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Sara Lee Fordham · NPI 1871141465
Family physician in Dixon, Illinois. Individual provider, active in the CMS NPPES registry since August 28, 2019.
## Identity
- **NPI:** 1871141465 (Entity type: Individual)
- **Enumerated:** August 28, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209019936 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 403 E 1ST ST, Dixon, IL 61021-3116
- **Phone:** (815) 288-5531
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1871141465) · Data from the CMS NPPES public registry.