Sara Golden
Individual provider Active NPI Family Nurse Practitioner · Granger, IN
NPI 1114378635 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1114378635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71003626A (IN)
- Practice address
- 6913 N Main St
Granger, IN 46530-8039 - Phone
- (574) 647-1500
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
-
Paul H Buller, MD
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eventus Ecs, Inc
Beacon Medical Group Inc
Extended Care Specialists, Inc
Practice addresses (Care Compare)
150 W Market St
Suite 400
Indianapolis, IN 46204-2810
Phone (855) 743-2247
6913 N Main St
Medpoint Urgent Care
Granger, IN 46530-8039
Phone (574) 647-1550
8398 Mississippi St
FL 2
Merrillville, IN 46410-6316
Phone (855) 743-2247
Hospital & facility affiliations
- Memorial Hospital of South Bend
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160927001252 | IN | Practitioner - Nurse Practitioner | 9638466196 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003626A | IN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Family | Current | Accepting new patients |
| Eventus Ecs - Kentucky, PLLC | Current |
Accepting new patients | |
| Beacon Medical Group, Inc. | Current |
Accepting new patients | |
| Eventus Ecs, Inc | Current |
Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Family | Current | Accepting new patients |
| Beacon Medical Group Inc | Current |
Accepting new patients | |
| Extended Care Specialists, Inc | Family | Current |
Accepting new patients |
| Eventus WH Midwest Care, LLC | Current |
Accepting new patients | |
| Paul H Buller MD | Past |
Accepting new patients |
Locations
2100 Midway St
Columbus, IN 47201
Phone 3178181240225
3301 County Road 6 E
Elkhart, IN 46514
Phone (574) 264-9635
3512 Stellhorn Rd
Fort Wayne, IN 46815
2222 Rieth Blvd
Ste 100
Goshen, IN 46526
Phone (574) 875-1200
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479
150 W Market St
Ste 400
Indianapolis, IN 46204
900 I St
Laporte, IN 46350
Phone (219) 324-1670
8398 Mississippi St
Fl 2
Merrillville, IN 46410
206 W Warren St
Middlebury, IN 46540
Phone (219) 825-2146
710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610
926 Erskine Plz
South Bend, IN 46614
Phone (800) 635-5516
1815 E Ireland Rd
South Bend, IN 46614
Phone (574) 647-1700
2235 Cleveland Rd
South Bend, IN 46628
Phone (574) 647-4530
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JHFAAA
- sagolden2@mybeacon.cernerdirect.com
- saragolden@beacon.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71003626A | IN | Yes |
Addresses
Primary practice location
6913 N Main St
Granger, IN 46530-8039
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-6592
Other practice location 1
206 W Warren St
Middlebury, IN 46540-9410
Phone (574) 237-9200
Other practice location 2
2222 Rieth Blvd Ste 100
Goshen, IN 46526-5869
Phone (574) 875-1200
Other practice location 3
3301 County Road 6 E
Elkhart, IN 46514-7673
Phone (574) 266-5342
Other practice location 4
1815 E Ireland Rd
South Bend, IN 46614-2845
Phone (574) 647-1750
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201389180 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sagolden2@mybeacon.cernerdirect.com |
Other providers in Granger, IN
- Sibil Gill
- Blair Gingerich
- Glance Optique, LTD
- Barbara Ann Glassford
- Marla L Godette
- Zachary Jacob Gomola
- Roberta Gooding FNP
- Darren Robert Goodwin
- Granger Counseling
- Granger Dental Group, LLC
All providers in Granger, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.