Active NPI
Sara M Kempf, PA
- Physician Assistant
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10000953A
- Practice address
- 7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133 - Phone
- (260) 436-8686
- Fax
- (260) 459-0036
- NPI assigned
- Aug 31, 2007
- Last updated
- Jan 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10000953A | IN | Primary |
Addresses
Primary practice location
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Mailing address
PO Box 2526
Fort Wayne, IN 46801-2526
Phone (260) 436-8686
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPR | Medicaid | IN | |
| 000000820795 | Other | IN | ANTHEM |
Other names 1
- Sara M Wetli
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone (800) 566-5659
7619 W Jefferson Blvd
Fort Wayne, IN 46804-4133
7631 W Jefferson Blvd
The Imaging Center
Fort Wayne, IN 46804-4133
Phone (260) 436-7770
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.85 of 100
- Promoting interoperability
- 81
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000953A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Fort Wayne Orthopaedics LLC | Physician Assistant | Current | Accepting new patients |
| Fort Wayne Orthopaedics, LLC | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Physician Assistant | Past | Accepting new patients |
Locations
303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800
10106 DuPont Circle Dr E
Ste 150
Fort Wayne, IN 46825
2512 E DuPont Rd
Ste 110
Fort Wayne, IN 46825
Phone (260) 434-6076
3816 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 266-8210
7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043686864254
8450 Northwest Blvd
Indianapolis, IN 46278
605 N Walnut St
North Manchester, IN 46962
Phone (219) 982-1994
1700 Alber St
Wabash, IN 46992
Phone (260) 563-9405
3505 Lake City Hwy
Warsaw, IN 46580
Phone (260) 479-3513
701 Orthopaedic Dr
Ste 100
Warsaw, IN 46582
701 Orthopaedic Dr
Ste 120
Warsaw, IN 46582
Interoperability endpoints
- sara.wetlipa.p1@direct.fwortho.nextgenshare.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Fort Wayne, IN
- NPI 1497758429
Physician Assistant
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1336252451
Physician Assistant
-
- Durable Medical Equipment & Medical Supplies
- Gas City, IN
- NPI 1699425082
-
dba Orthoindy-Northwest
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1073622015
-
dba Orthoindy
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
dba The Orthopaedic Hospital of Lutheran Health Network
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
-
- Critical Access Hospital
- Rochester, IN
- NPI 1265413405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1881888923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2526",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468012526",
"telephone_number": "260-436-8686",
"fax_number": "260-459-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044133",
"telephone_number": "260-436-8686",
"fax_number": "260-459-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMPF",
"first_name": "SARA",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10000953A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OPR",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000820795",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "WETLI",
"middle_name": "M",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.