Sara Jane Brown

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704353039 Issued in MI

Practice address

1140 N State St
Saint Ignace, MI 49781-1048

Phone

(906) 643-8585

NPI assigned

May 6, 2024

Last updated

Feb 26, 2025By 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

• Sara Jane Aqwa 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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: saqwa134656@mymichiganhealth.midirect.net

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.

• Mackinac Straits Health System Inc

  dba Mackinac Straits Hospital and Health Center

  • Critical Access Hospital
  • Saint Ignace, MI
  • NPI 1124283502
  Medicare reassignment NPD
• Mackinac Straits Health System Inc

  dba Mackinac Straits Hospital and Health Center

  • General Practice Physician
  • Saint Ignace, MI
  • NPI 1659536035
  Medicare reassignment NPD
• Mackinac Straits Health System Inc

  dba Rivertown Medical Clinic

  • Rural Health Clinic/Center
  • Cheboygan, MI
  • NPI 1659868206
  NPD

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1689422628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N STATE ST",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N STATE ST",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811048",
            "telephone_number": "906-643-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 S Huron St",
            "address_purpose": "LOCATION",
            "city": "Cheboygan",
            "state": "MI",
            "postal_code": "497212267",
            "country_code": "US",
            "telephone_number": "231-597-8192",
            "fax_number": "231-597-8463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SARA",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704353039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "AQWA",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy G Bolmer, D.O.
• Mark Boshaw, B.S. CADC
• Zachary Adrian Brian, D.M.D.
• Bobbiejo M Briggs
• Loni Brown, RN
• Lauren Kaye Buhr, MD
• Christina Burlak, LLMSW
• Michele M Casey I, RN,BSN
• Angela Marie Cena, DDS
• Ariel J Clark

• Family Nurse Practitioner in Saint Ignace, MI
• Providers in Saint Ignace, 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 Feb 26, 2025; 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.