Sarah Gae Wiley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704284928 Issued in MI

Practice address

333 S Kalamazoo Ave
Marshall, MI 49068-1714

Phone

(269) 558-0080

NPI assigned

Mar 15, 2019

Last updated

Mar 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Gae Elser Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1285193698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S KALAMAZOO AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681714",
            "telephone_number": "269-558-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S KALAMAZOO AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681714",
            "telephone_number": "269-558-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "SARAH",
        "middle_name": "GAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704284928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "ELSER",
            "middle_name": "GAE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Westside Eye Care, PC (Marshall Eye Care)
• Brandee Wheaton
• Dustin White, OTR/L
• Whole Family Direct Care
• James Emil Wiita, RPH
• Steven Wilke, PA-C
• Sheryl Wilkinson, LMSW
• Ginger Williams, MD
• Erin Wilson
• Jolene Wilson, RDH

• Family Nurse Practitioner in Marshall, MI
• Providers in Marshall, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.