Sumar Abushaqra
NPI 1023488475 · Family Nurse Practitioner · Sheboygan, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sumar Abushaqra is a Family Nurse Practitioner provider in Sheboygan, WI (NPI 1023488475).
Provider details
- NPI number
- 1023488475
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209.013305 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
269 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 91 | $86 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 77 | $72 |
| Detection Test By Immunoassay With Direct Visual Observation for Streptococcus, Group a (strep)87880 | 50 | $16 |
| Urinalysis, Manual Test81002 | 32 | $3 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza87428 | 19 | $69 |
Typical Medicare-allowed amounts for these services range $3–$86 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 32 | 32 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 30 | 30 |
| Prednisone | 23 | 23 |
| Doxycycline Hyclate | 19 | 19 |
| Methylprednisolone | 19 | 19 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 19 | 19 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa |
Practice location
Mailing address
Additional practice locations (1)
- 17800 Kedzie AveHazel Crest, IL 60429-2029Phone: (708) 213-4200
Registry dates
- Enumerated
- 2015-09-29
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Frequently asked questions
- What is Sumar Abushaqra's NPI number?
- Sumar Abushaqra's National Provider Identifier (NPI) is 1023488475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sumar Abushaqra's specialty?
- Sumar Abushaqra is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sumar Abushaqra located?
- Sumar Abushaqra's practice location on file with NPPES is 3400 Union Ave, Sheboygan, WI 53081-8426.
- What is Sumar Abushaqra's phone number?
- The practice phone number listed in the NPPES registry for Sumar Abushaqra is (920) 802-2100.
- Does Sumar Abushaqra accept Medicare?
- Sumar Abushaqra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sumar Abushaqra's NPI active?
- Yes — Sumar Abushaqra's NPI (1023488475) is active in the NPPES registry as of the last update on 2026-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.