SARA MARIE PILSNER NP-C
NPI 1053838086
Nurse Practitioner - Family in Cape Girardeau, MO

Active since August 30, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3 DOCTORS PARK, CAPE GIRARDEAU, MO 63703(573) 334-7748(573) 334-5724 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Aug 30, 2017 (2 updates tracked since 2017).

About Sara Marie Pilsner Np-c NPPES

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

SARA MARIE PILSNER NP-C (NPI 1053838086) is an individual family provider in Cape Girardeau, Missouri, licensed in Missouri (2017023517) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053838086
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARA MARIE PILSNERCredential: NP-C
Location Address3 DOCTORS PARKCape Girardeau, MO 63703-4927
Mailing Address3 Doctors ParkCape Girardeau, MO 63703-4927 · (573) 334-7748 · Fax (573) 334-5724
Fax(573) 334-5724
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 30, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1053838086 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 MO · 2017023517
3 DOCTORS PARK, Cape Girardeau, MO 63703

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sara Marie Pilsner Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214202845
PECOS Enrollment IDI20171009001237
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services72 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers18 claims1,650 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers72 claims13,440 services$1.69 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers43 claims4,710 services$6.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Adult Health)
3 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Nurse Practitioner (Family)
3 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Urology
3 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Urology
3 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Urology
3 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Urology
3 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Urology
3 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Urology
3 DOCTORS PARK
CAPE GIRARDEAU, MO 63703

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 Pilsner's NPI number?

The NPI number for Sara Pilsner is 1053838086. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Where is Sara Pilsner located?

Sara Pilsner practices at 3 Doctors Park, Cape Girardeau, MO 63703. The listed phone number is (573) 334-7748.

What is Sara Pilsner's specialty?

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

Is Sara Pilsner enrolled in Medicare?

Yes. Sara Pilsner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sara Pilsner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Sara Pilsner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sara Pilsner was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.