Individual provider Active NPI

Julie Sauer, FNP

  • Family Nurse Practitioner
  • Mishawaka, IN
National Provider Identifier
1699207530
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28201225A Issued in IN
Practice address
301 E Day Rd
Mishawaka, IN 46545-3455
Phone
(574) 204-7243
Fax
(745) 968-0217
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28201225A IN Primary

Addresses

Primary practice location

301 E Day Rd
Mishawaka, IN 46545-3455

Mailing address

301 E Day Rd
Mishawaka, IN 46545-3455
Phone (574) 204-7243

Other practice location 1

211 N Eddy St
South Bend, IN 46617-3096
Phone (574) 246-8816

Other identifiers 1

IdentifierTypeStateIssuer
300007324MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20250417000592 IN Practitioner - Nurse Practitioner 6800173592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

611 E Douglas Rd
402 Maternal Fetal Medicine
Mishawaka, IN 46545-1468
Phone (574) 335-7750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28201225AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center, Inc. Family CurrentSince May 1, 2025 Accepting new patients
Saint Joseph Regional Medical Center, Inc. CurrentSince May 1, 2025 Accepting new patients
Uthman Cavallo, MD, LLC Past Accepting new patients

Locations

611 E Douglas Rd
Ste 402
Mishawaka, IN 46545
Phone (574) 335-6700

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

707 Cedar St
Ste 200
South Bend, IN 46617
Phone (574) 237-1328

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Interoperability endpoints

  • Direct secure messaging: jsauer1147609@direct.trinity-health.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1699207530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E DAY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453455",
            "telephone_number": "574-204-7243",
            "fax_number": "574-968-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E DAY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453455",
            "telephone_number": "574-204-7243",
            "fax_number": "745-968-0217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 N Eddy St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466173096",
            "country_code": "US",
            "telephone_number": "574-246-8816",
            "fax_number": "574-204-6345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUER",
        "first_name": "JULIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28201225A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300007324",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.