ANNE SHERMAN FNP
NPI 1619248598
Nurse Practitioner - Family in Mequon, WI
NPI Status: Active since January 24, 2012
Contact Information
10602 N PORT WASHINGTON RD
SUITE 101
MEQUON, WI
ZIP 53092
Phone: (414) 367-6376
- Individual
- Female
- Nurse Practitioner
- Family
- PECOS Enrolled
- Opted-Out Medicare
About ANNE SHERMAN
This page provides the complete NPI Profile along with additional information for Anne Sherman, a provider established in Mequon, Wisconsin with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1619248598 assigned on January 2012. The practitioner's primary taxonomy code is 363LF0000X with license number 4657-33 (WI). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1619248598
- Provider Name
- ANNE SHERMAN FNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 10602 N PORT WASHINGTON RD SUITE 101 MEQUON, WI 53092
- Location Phone
- (414) 367-6376
- Mailing Address
- 10602 N PORT WASHINGTON RD SUITE 101 MEQUON, WI 53092
- Mailing Phone
- (414) 367-6376
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-24-2012
- Last Update Date
- 07-07-2016
- Code Navigator
A nurse practitioner (NP) like Anne Sherman is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Anne Sherman opted out of Medicare effective on 05-23-2013 until 05-23-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 4657-33
- License State
- WI
Medicare Participation & PECOS Enrollment Status
Anne Sherman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-23-2013
Opt-Out End Date: 05-23-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53092 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for ANNE SHERMAN FNP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 2 | 4 | 8 | 5 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 4 | 4 | 16 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 4 + 4 + 1 + 6 + 5 + 1 + 8 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1619248598 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851356158 | NICOLE NELSON PT Individual | Physical Therapist | 10602 N PORT WASHINGTON RD MEQUON, WI 53092 (262) 241-8030 |
| 1538265723 | CARLA B KRAMORIS PT Individual | Physical Therapist | 10602 N PORT WASHINGTON RD MEQUON, WI 53092 (262) 241-8030 |
| 1558467795 | MRS. SUSAN PAWLOWSKI Individual | Physical Therapist | 10602 N PORT WASHINGTON RD SUITE 101 MEQUON, WI 53092 (262) 241-8030 |
| 1407952526 | LAURIE DYBUL PT Individual | Physical Therapist (Pediatrics) | 10602 N PORT WASHINGTON RD SUITE 101 MEQUON, WI 53092 (262) 241-8030 |
| 1891893715 | DR. SCOTT ARBIT DMD MS Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 10602 N PORT WASHINGTON RD MEQUON, WI 53092 (262) 241-0600 |
| 1649366766 | MS. BARBARA KAY HYPES P.T. Individual | Physical Therapist | 10602 N PORT WASHINGTON RD MEQUON, WI 53092 (262) 241-8030 |
| 1225126238 | PATRICIA ANN JAWORSKI OTR Individual | Occupational Therapist | 10602 N PORT WASHINGTON RD SUITE 101 MEQUON, WI 53092 (262) 241-8030 |
| 1740379189 | CYNTHIA MICHALAK MS, CCC/SLP Individual | Speech-Language Pathologist | 10602 N PORT WASHINGTON RD SUITE 101 MEQUON, WI 53092 (262) 241-8030 |
| 1750463915 | CHRISTINE TRACY ANDERSON Individual | Speech-Language Pathologist | 10602 N PORT WASHINGTON RD 101 MEQUON, WI 53092 (262) 241-8030 |
| 1871670836 | MS. CHRISTINE KAY CAYO OTR Individual | Occupational Therapist (Pediatrics) | 10602 N PORT WASHINGTON RD MEQUON, WI 53092 (262) 241-8030 |
| 1538248711 | MEGAN ELIZABETH MCKEAN CFY-SLP Individual | Speech-Language Pathologist | 10602 N PORT WASHINGTON RD MEQUON, WI 53092 (262) 241-8030 |
| 1629252606 | DR. RODICA NMI IANCU-LOEBEL D.D.S. Individual | Dentist (General Practice) | 10602 N PORT WASHINGTON RD SUITE 102 MEQUON, WI 53092 (262) 240-2220 |
| 1710120878 | JANET C. HALONEN L.AC. Individual | Acupuncturist | 10602 N PORT WASHINGTON RD SUITE 101 MEQUON, WI 53092 (414) 915-6377 |
| 1568866150 | IAM INTEGRATIVE & AESTHETIC MEDICINE, LTD. Organization | Clinic/Center | 10602 N PORT WASHINGTON RD STE. 101 MEQUON, WI 53092 (415) 866-8757 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619248598, enumerated in the NPI registry as an "individual" on January 24, 2012
The provider is located at 10602 N Port Washington Rd Suite 101 Mequon, Wi 53092 and the phone number is (414) 367-6376
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on May 23, 2013 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 23, 2025.
This NPI record was last updated on January 24, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.