Individual provider Active NPI

Sara Jean Mornar, D.O.

  • Obstetrics & Gynecology Physician
  • Muncie, IN
National Provider Identifier
1376710863
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
02004618A Issued in IN
Practice address
5501 W Bethel Ave Ste C
Muncie, IN 47304-8513
Phone
(765) 286-3900
Fax
(765) 286-3915
NPI assigned
May 13, 2008
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036.117604 IL
Obstetrics & Gynecology Physician 207V00000X 53044-021 WI
Obstetrics & Gynecology Physician 207V00000X N9100 TX
Obstetrics & Gynecology Physician 207V00000X 02004618A IN Primary

Addresses

Primary practice location

5501 W Bethel Ave Ste C
Muncie, IN 47304-8513

Mailing address

5501 W Bethel Ave Ste C
Muncie, IN 47304-8513
Phone (765) 286-3900

Other identifiers 1

IdentifierTypeStateIssuer
283218003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090909000410 WI Practitioner - Obstetrics/Gynecology 5395890701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Chicago College of Osteopathy, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3821 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036.117604ILMDObstetrics & Gynecology Physician
N9100TXMDObstetrics & Gynecology Physician
53044-021WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Sep 15, 2023 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Sep 15, 2023 Accepting new patients
Ascension All Saints Hospital, Inc Past Accepting new patients
Indiana University Health Care Associates, Inc Past Accepting new patients

Locations

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1376710863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W BETHEL AVE STE C",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473048513",
            "telephone_number": "765-286-3900",
            "fax_number": "765-286-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 W BETHEL AVE STE C",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473048513",
            "telephone_number": "765-286-3900",
            "fax_number": "765-286-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORNAR",
        "first_name": "SARA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.117604",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "53044-021",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N9100",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "02004618A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283218003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.