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SARAH EMMA O'ROURKE NP
NPI 1992563357
Nurse Practitioner in Manitowoc, WI

Active since March 11, 2024PECOS EnrolledAccepts Medicare Assignment
4127 THUNDER RIDGE RD, MANITOWOC, WI 54220(320) 761-6964 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Sarah Emma O'rourke Np NPPES

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

SARAH EMMA O'ROURKE NP (NPI 1992563357) is an individual nurse practitioner in Manitowoc, Wisconsin, licensed in Wisconsin (14975-33) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital Medical Center, and maintains a secondary practice location in Manitowoc.

NPPES Registry Identity

NPI1992563357
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSARAH EMMA O'ROURKECredential: NP
Location Address4127 THUNDER RIDGE RDManitowoc, WI 54220-8874
Mailing Address4127 Thunder Ridge RdManitowoc, WI 54220-8874 · (320) 761-6964
Phone(320) 761-6964
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 11, 2024
NPPES CertifiedNovember 30, 2023
✔ NPI 1992563357 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 · 14975-33
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.
4127 THUNDER RIDGE RD, Manitowoc, WI 54220
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Secondary Practice Location 1

Location 14127 Thunder Ridge RdManitowoc, WI 54220-8874 · Phone (320) 761-6964

Accepted Insurance

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

Sarah Emma O'rourke 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 ID5799127395
PECOS Enrollment IDI20240529000520
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services54 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
40 services32 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 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.

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 Sarah O'rourke's NPI number?

The NPI number for Sarah O'rourke is 1992563357. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Sarah O'rourke located?

Sarah O'rourke practices at 4127 Thunder Ridge Rd, Manitowoc, WI 54220. The listed phone number is (320) 761-6964.

What is Sarah O'rourke's specialty?

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

Is Sarah O'rourke enrolled in Medicare?

Yes. Sarah O'rourke 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 Sarah O'rourke accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Security Health Plan and UnitedHealthcare list Sarah O'rourke 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 Sarah O'rourke affiliated with any hospitals?

According to CMS data, Sarah O'rourke is affiliated with St Mary's Hospital Medical Center and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Sarah O'rourke was last updated on March 11, 2024. 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.