Sarah Elisa Endicott, MSN, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4224-33 Issued in WI

Practice address

918 1St St
New Glarus, WI 53574-8876

Phone

(608) 214-8006

NPI assigned

Oct 21, 2010

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

Medicare fee-for-service enrollment

Enrolled in WI

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, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sendicott327295@direct-ehr-ssmhc.com

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.

• Tellurian, Inc.

  • Community/Behavioral Health Agency
  • Monona, WI
  • NPI 1740213776
  Medicare reassignment NPD
• Tellurian, Inc.

  • Psychiatry Physician
  • Madison, WI
  • NPI 1164432118
  NPD
• Tellurian, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monona, WI
  • NPI 1235302480
  NPD
• Tellurian, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Monona, WI
  • NPI 1609129410
  NPD (past)

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1811207012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 1ST ST",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "535748876",
            "telephone_number": "608-214-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 1ST ST",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "535748876",
            "telephone_number": "608-214-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDICOTT",
        "first_name": "SARAH",
        "middle_name": "ELISA",
        "credential": "MSN, GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "4224-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Burke
• Kathy Chao
• Sara Lynn Dodsworth, COTA/L
• Carly Duerst, RD
• Patricia Jo Dunwiddie
• Radhika Flannery
• Eric C Gebhart, B.S., CSAC
• John Nicholas Gietzen, D.O.
• Aliyah Gould
• Stephanie Jo Gramann, RN, CPNP

• Gerontology Nurse Practitioner in New Glarus, WI
• Providers in New Glarus, WI by specialty
• Gerontology Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.