SARA ANNE HORMIG (APN) – Nurse Practitioner, NPI 1164826012
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for SARA ANNE HORMIG (APN)
PHYSICIANS IMMEDIATE CARE
3475 S ALPIND RD.
ROCKFORD, IL 611092604
Phone: (815) 874-8000
Type: Location
The Bridge Clinic
318 N. Church St.
Rockford, IL 61101
Phone: (815) 494-1594
Type: Location
7974 UW HEALTH CT
SUITE 855
MIDDLETON, WI 535625531
Phone: (608) 829-5485
Type: Mailing
600 HIGHLAND AVE
MADISON, WI 537920001
Phone: (608) 263-1530
Fax: (608) 265-8887
Type: Location
3475 S ALPINE RD
ROCKFORD, IL 611092604
Phone: (815) 874-8000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190305003281 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | CO | |
| Internal Medicine, Family Practice, Hospitalist | IL | |
| Internal Medicine, Hospitalist, Internal Medicine | IL | |
| Family Practice | IL | |
| H O S P I T A L I S T | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine | IL | |
| Internal Medicine, Hospitalist | IL | |
| Physician Assistant | WI | |
| Family Practice | IL |
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