Sarah Marie Mgonja, A.R.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A115500 Issued in IA

Practice address

1220 Chatburn Ave
Harlan, IA 51537-2009

Phone

(712) 755-5130

Fax

(712) 755-4445

NPI assigned

Jul 19, 2016

Last updated

Jul 19, 2016By 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

Medicare fee-for-service enrollment

Enrolled in IA

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shelby County Chris a Myrtue Memorial HospitalGroup PAC ID 5193619393, shared by 12 NPIs, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Myrtue Medical Center Hospital, Harlan, IA, CCN 161374

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smgonja117940@uihcdirect.org

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.

• Shelby County Chris a Myrtue Memorial Hospital

  dba Myrtue Medical Center

  • Critical Access Hospital
  • Harlan, IA
  • NPI 1598871469
  Medicare reassignment NPD
• Shelby County Chris a. Myrtue Memorial Hospital

  dba Myrtue Medical Center

  • Family Medicine Physician
  • Harlan, IA
  • NPI 1922184175
  Medicare reassignment NPD
• Shelby County Chris a Myrtue Memorial Hospital

  dba Myrtue Medical Center - Harlan Clinic

  • Rural Health Clinic/Center
  • Harlan, IA
  • NPI 1992817886
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shelby County Chris a Myrtue Memorial Hospital

  dba Myrtue Medical Center

  • Critical Access Hospital
  • Harlan, IA
  • NPI 1598871469
  Care Compare affiliation

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1811340425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 GARFIELD AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CHATBURN AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372009",
            "telephone_number": "712-755-5130",
            "fax_number": "712-755-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MGONJA",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A115500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Henry McCutchan, O.D.
• Medivac Corp
• Deborah Lynn Meissner, LCSW, LIMHP, LADC
• Shelly L Menard, APRN
• Kristi Marie Merchant, OD
• Baylen Mikkelsen
• Sara Miller
• William M Miller, C.R.N.A.
• Rita Marie Million, RN, PHD
• Morningview Dental, PLLC

• Family Nurse Practitioner in Harlan, IA
• Providers in Harlan, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.