Individual provider Active NPI

Sarah Suzanne Bortone, FNP-BC

  • Family Nurse Practitioner
  • Mishawaka, IN
National Provider Identifier
1740520717
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28187181A Issued in IN
Practice address
620 W Edison Rd
Suite 118
Mishawaka, IN 46545-2784
Phone
(574) 254-1100
NPI assigned
Feb 27, 2013
Last updated
Feb 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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 28187181A IN Primary

Addresses

Primary practice location

620 W Edison Rd
Suite 118
Mishawaka, IN 46545-2784

Mailing address

56930 Wild Heather Dr
South Bend, IN 46619-9476
Phone (574) 289-4986

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
I20130821000424 IN Practitioner - Nurse Practitioner 4183867211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care of Michiana LLCGroup PAC ID 7810149309, 6 clinicians

Practice addresses (Care Compare)

515 Park Place Cir
Suite 200
Mishawaka, IN 46545-3585
Phone (574) 607-4724

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28187181AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Health & Cosmetic Center PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarah.bortone@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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 7

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": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1740520717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56930 WILD HEATHER DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466199476",
            "telephone_number": "574-289-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W EDISON RD",
            "address_2": "SUITE 118",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452784",
            "telephone_number": "574-254-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTONE",
        "first_name": "SARAH",
        "middle_name": "SUZANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28187181A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.