Active NPI 1124519376 Individual Practitioner Female Practitioner

Sarah M. Smith , NP

Nurse Practitioner • Monroe, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sarah Smith, NP is a certified Nurse Practitioner practicing in Monroe, WI. With approximately 8 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2018, Sarah Smith delivers high-quality medical care to the local community at 515 22ND AVE.

Sarah Smith maintains professional affiliations with The Monroe Clinic, Inc., Select Rehabilitation, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, insertion of needle into vein for collection of blood sample, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

515 22nd Ave

Monroe, WI 535661569

Telephone 6083242000

Associated Practice Facility / Clinic

🏢 The Monroe Clinic, Inc. Facility NPI 1740291491

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Monroe, WI

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -3.0 yrs vs City Avg

City Avg: 11.0 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

31 Specialists

Practicing in Monroe, WI (4030 Statewide)

Telehealth Adoption Rate

32.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (8 Years) 8 Yrs

Monroe Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	355	156	$371.00	$86.20
36415 Insertion of needle into vein for collection of blood sample	197	60	$31.00	$8.65
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	137	101	$474.00	$123.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	94	65	$260.00	$59.36
80048 Blood test, basic group of blood chemicals (calcium, total)	92	33	$194.00	$8.29
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	55	31	$52.00	$6.34
99316 Nursing facility discharge management, more than 30 minutes	53	50	$421.00	$105.00
80053 Blood test, comprehensive group of blood chemicals	51	33	$207.00	$10.35
84443 Blood test, thyroid stimulating hormone (TSH)	39	26	$254.00	$16.46
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	37	24	$55.00	$7.61
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi	31	17	$134.00	$25.56
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	27	12	$286.00	$62.65
83036 Hemoglobin A1C level	26	17	$76.00	$9.52
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	26	23	$175.00	$31.97
82607 Cyanocobalamin (vitamin B-12) level	23	17	$104.00	$14.78
84466 Transferrin (iron binding protein) level	22	14	$185.00	$12.50
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	22	13	$444.00	$104.22
83540 Iron level	22	14	$89.00	$6.34
82728 Ferritin (blood protein) level	20	13	$485.00	$13.36
81001 Manual urinalysis test with examination using microscope, automated	12	11	$49.00	$3.11
82306 Vitamin d-3 level	12	12	$205.00	$29.01
80061 Blood test, lipids (cholesterol and triglycerides)	12	12	$147.00	$13.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	319	171	$310.00	$87.72
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	146	81	$224.00	$60.69
36415 Insertion of needle into vein for collection of blood sample	92	48	$41.04	$8.40
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	53	48	$412.00	$125.75
99316 Nursing facility discharge management, more than 30 minutes	39	38	$366.00	$107.77
80048 Blood test, basic group of blood chemicals (calcium, total)	38	23	$141.03	$8.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$252.30	$79.07
80053 Blood test, comprehensive group of blood chemicals	29	26	$171.41	$10.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	28	21	$94.36	$7.61
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	25	21	$88.88	$6.27
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$136.85	$53.45
84443 Blood test, thyroid stimulating hormone (TSH)	18	17	$200.67	$16.41
83036 Hemoglobin A1C level	17	13	$105.12	$9.29
99315 Nursing facility discharge day management, 30 minutes or less	14	14	$302.00	$66.97
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	13	12	$175.00	$32.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	170	$203.66	$80.43
99213 Established patient office or other outpatient visit, typically 15 minutes	184	120	$108.66	$54.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	83	83	$636.63	$107.54
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	67	40	$175.00	$35.38
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	61	38	$224.00	$55.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$70.05	$29.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	125	$202.00	$81.38
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	64	45	$224.00	$56.05
99213 Established patient office or other outpatient visit, typically 15 minutes	59	49	$96.00	$55.24
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	56	39	$175.00	$35.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$584.00	$109.11
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$563.00	$138.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$339.00	$106.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	235	171	$92.00	$41.69
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	153	88	$213.00	$56.74
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	107	73	$167.00	$36.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	70	$194.65	$64.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$541.00	$95.04
99497 Advance care planning, first 30 minutes	18	18	$364.00	$69.89
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$222.00	$61.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$33.00	$20.87
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	11	$295.00	$74.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	318	220	$94.65	$41.63
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	121	77	$213.00	$56.04
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	90	74	$295.00	$74.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	56	$196.23	$64.28
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	55	49	$167.00	$35.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$35.50	$20.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$183.30	$61.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	93	$89.05	$41.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$186.00	$64.13

Medical Specialties & State Licenses

CMS Verified: 2023-10-11

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 8539-33

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License WI 195181-30

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209022391

Hospital & Practice Group Affiliations

The Monroe Clinic, Inc.

1301 Kiwanis Dr, Freeport, IL 610326907

Phone: 8152351406

The Monroe Clinic, Inc.

515 22nd Ave, Monroe, WI 535661569

Phone: 6083242000

Select Rehabilitation, Llc

2600 Compass Rd, Glenview, IL 600268001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Dr. Lindsey Houle , DNP, PMHNP-BC

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Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

👤

Provider Name / Credentials Updated January 31, 2019

Recorded as SARAH SMITH, N.P.

📍

Updated Practice Location September 19, 2018

Registered at 515 22ND AVE, MONROE, WI 535661569 (Tel: 6083242000)

📍

Updated Business Mailing Address September 19, 2018

Registered at 515 22ND AVE, MONROE, WI 535661569 (Tel: 6083242000)

👤

Provider Name / Credentials Updated September 19, 2018

Recorded as SARAH CARLSON, N.P.

✅

NPI Profile Active May 23, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2018

Registered at 515 22ND AVE, MONROE, WI 535661598 (Tel: 6083242000)

📍

Updated Business Mailing Address May 23, 2018

Registered at 401 W FULTON ST APT 202, EDGERTON, WI 535341760 (Tel: 8159784439)

👤

Provider Name / Credentials Updated May 23, 2018

Recorded as SARAH CARLSON, RN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2018

Registered Nurse (License #195181-30 in WI)

🟢

Initial NPI Registration & Enumeration May 23, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124519376

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 23, 2018

Last Update: October 11, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

515 22nd Ave

Monroe, WI 535661569

Phone: 6083242000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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