Sara Rae Ocker

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

9396 Issued in MN

Practice address

145 2ND Ave SE
Cambridge, MN 55008-1602

Phone

(320) 496-4663

NPI assigned

May 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sara Rae Croaston Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr Beth a Good DNP Aprn Pmhcns-BC LLCGroup PAC ID 8527311216, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dr. Beth a. Good DNP, Aprn, Pmhcns-BC, LLC

  • Adult Mental Health Clinic/Center
  • Cambridge, MN
  • NPI 1205319464
  Medicare reassignment Care Compare group NPD
• Dr. Beth a. Good DNP, Aprn, Pmhcns-BC, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cambridge, MN
  • NPI 1891559407
  NPD

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1427624584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 YELLOW PINE ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044360",
            "telephone_number": "763-381-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 2ND AVE SE",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081602",
            "telephone_number": "320-496-4663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Anoka",
            "state": "MN",
            "postal_code": "553034516",
            "country_code": "US",
            "telephone_number": "651-431-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCKER",
        "first_name": "SARA",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2468063",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "9396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "CROASTON",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taryn Rose Yurich Nyblom
• Jenna Erin Nypan, MD
• Rachael O'Connor
• John O'Sullivan, MBBS
• Alexander John Oberg, DDS
• Ann L Oconnell, DDS
• Tricia Renae Odonovan, PHARMASCIST
• Dani Kay Oelerking, PHARMD
• Melanie Oja, PTA
• Jody Kay Okerlund, P.T.

• Psychiatric/Mental Health Nurse Practitioner in Cambridge, MN
• Providers in Cambridge, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.