SARAH MARIE PANKRATZ
NPI 1043057300
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since July 12, 2024PECOS Enrolled
1015 LEXINGTON AVE, INDIANAPOLIS, IN 46203(812) 341-6980 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sarah Marie Pankratz NPPES

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

SARAH MARIE PANKRATZ (NPI 1043057300) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043057300
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSARAH MARIE PANKRATZ
Location Address1015 LEXINGTON AVEIndianapolis, IN 46203-1017
Mailing Address1015 Lexington AveIndianapolis, IN 46203-1017 · (812) 341-6980
Sole ProprietorNo
Enumeration DateJuly 12, 2024
NPPES CertifiedJuly 12, 2024
NPI 1043057300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1015 LEXINGTON AVE, Indianapolis, IN 46203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sarah Marie Pankratz 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043057300, enumerated as an "individual" on July 12, 2024.

The provider is located at 1015 LEXINGTON AVE INDIANAPOLIS, IN 46203 and the phone number is (812) 341-6980.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.