Sara Elizabeth Kovalchik, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP030133 Issued in PA

Practice address

247 Main St
Dickson City, PA 18519-1641

Phone

(570) 291-4180

Fax

(570) 586-3953

NPI assigned

Jul 30, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wayne Memorial Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1952395121
  Medicare reassignment NPD
• Wayne Memorial Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Honesdale, PA
  • NPI 1346000569
  NPD
• Blondek Center for Pediatric Health & Wellness PC

  • Pediatrics Physician
  • Dickson City, PA
  • NPI 1275011660
  NPD (past)
• Main Street Pediatrics of Greater Scranton

  • Pediatric Adolescent Medicine Physician
  • Dickson City, PA
  • NPI 1881253011
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1003645938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 ARNOLD DR",
            "city": "JEFFERSON TWP",
            "state": "PA",
            "postal_code": "184363256",
            "telephone_number": "570-687-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191641",
            "telephone_number": "570-291-4180",
            "fax_number": "570-586-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALCHIK",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Prosthetics and Orthotics, Inc.
• Patricia Ann King, CCC-SLP
• Angelina K. Kluss, P.T.
• Bridget Conlon Kolf, BS
• Collette E Kopa, RN,MSN
• Chelsea Kresge
• Michelle Marie Krutulis, RN
• Michael Thomas Kurpis, M.P.T.
• Christina Helen Kutch, LMT
• Lackawanna Eye Associates LLC

• Family Nurse Practitioner in Dickson City, PA
• Providers in Dickson City, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.