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SARA ELIZABETH KOVALCHIK CRNP
NPI 1003645938
Nurse Practitioner - Family in Dickson City, PA

Active since July 30, 2024PECOS Enrolled
247 MAIN ST, DICKSON CITY, PA 18519(570) 291-4180(570) 586-3953 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sara Elizabeth Kovalchik Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA ELIZABETH KOVALCHIK CRNP (NPI 1003645938) is an individual family provider in Dickson City, Pennsylvania, licensed in Pennsylvania (SP030133) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003645938
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARA ELIZABETH KOVALCHIKCredential: CRNP
Location Address247 MAIN STDickson City, PA 18519-1641
Mailing Address549 Arnold DrJefferson Twp, PA 18436-3256 · (570) 687-8149
Phone(570) 291-4180
Fax(570) 586-3953
Sole ProprietorYes
Enumeration DateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1003645938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP030133
247 MAIN ST, Dickson City, PA 18519
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Elizabeth Kovalchik Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sara Kovalchik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wayne Memorial Community Health Centers
21 mi
Federally Qualified Health Center (FQHC)
600 MAPLE AVE STE 2
Honesdale, PA 18431
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 73 clinicians in this Medicare group
NPI 1952395121 (570) 251-6672

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18519 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY POWELL CASARI CRNP
Nurse Practitioner (Family)
247 MAIN ST
DICKSON CITY, PA 18519
Lackawanna County (570) 344-9997
JACKLYN DELPRETE NP
Nurse Practitioner (Family)
247 MAIN ST
DICKSON CITY, PA 18519
Lackawanna County (570) 291-4180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Kovalchik's NPI number?

The NPI number for Sara Kovalchik is 1003645938. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is Sara Kovalchik located?

Sara Kovalchik practices at 247 Main St, Dickson City, PA 18519. The listed phone number is (570) 291-4180.

What is Sara Kovalchik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sara Kovalchik enrolled in Medicare?

Yes. Sara Kovalchik is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Kovalchik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Kovalchik reassigns Medicare benefits to Wayne Memorial Community Health Centers (Honesdale, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Kovalchik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sara Kovalchik was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.