Individual provider Active NPI

Sarah Beth Koenigseker, CNM

  • Advanced Practice Midwife
  • Bolivia, NC
National Provider Identifier
1528513223
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
870 Issued in NC
Practice address
584 Hospital Dr NE Unit B
Bolivia, NC 28422-0020
Phone
(910) 721-4050
Fax
(910) 721-4051
NPI assigned
Aug 23, 2016
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN.CNM.19111 OH
Advanced Practice Midwife 367A00000X 870 NC Primary

Addresses

Primary practice location

584 Hospital Dr NE Unit B
Bolivia, NC 28422-0020

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (910) 721-4050

Other practice location 1

5105 SOM Center Road
Suite 201
Willoughby, OH 44094
Phone (440) 602-6710

Other practice location 2

14442 Caves Rd
Novelty, OH 44072-9505
Phone (419) 973-1393

Other practice location 3

9485 Mentor Avenue
Suite 202
Mentor, OH 44060
Phone (440) 205-5862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230420000009 NC Practitioner - Certified Nurse Midwife (CNM) 5890075519 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
870NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group LLC CurrentSince Mar 17, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 17, 2023 Accepting new patients

Locations

584 Hospital Dr NE
Unit B
Bolivia, NC 28422
Phone (910) 662-9480

75 Emerson Bay Rd
Ste 104
Carolina Shores, NC 28467
Phone (910) 667-3000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: skoenigseker1107843@direct.novanthealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1528513223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "910-721-4050",
            "fax_number": "910-721-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 HOSPITAL DR NE UNIT B",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284220020",
            "telephone_number": "910-721-4050",
            "fax_number": "910-721-4051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5105 SOM Center Road",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "44094",
            "country_code": "US",
            "telephone_number": "440-602-6710",
            "fax_number": "440-269-8107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14442 Caves Rd",
            "address_purpose": "LOCATION",
            "city": "Novelty",
            "state": "OH",
            "postal_code": "440729505",
            "country_code": "US",
            "telephone_number": "419-973-1393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9485 Mentor Avenue",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "44060",
            "country_code": "US",
            "telephone_number": "440-205-5862",
            "fax_number": "440-205-5861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIGSEKER",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.19111",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivia, NC

Sources for this page

Verify at the official NPI Registry.