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SARA JOHNSON MD
NPI 1124801576
Student in an Organized Health Care Education/Training Program in Wausau, WI

Active since August 17, 2023PECOS Enrolled
425 WIND RIDGE DR, WAUSAU, WI 54401(715) 675-3391 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sara Johnson Md NPPES

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

SARA JOHNSON MD (NPI 1124801576) is an individual student in an organized health care education/training program in Wausau, Wisconsin and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124801576
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSARA JOHNSONCredential: MD
Location Address425 WIND RIDGE DRWausau, WI 54401-4149
Mailing Address425 Wind Ridge DrWausau, WI 54401-4149 · (715) 675-3391
Phone(715) 675-3391
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
✔ NPI 1124801576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
425 WIND RIDGE DR, Wausau, WI 54401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022508647
PECOS Enrollment IDI20251103003320
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

ELIJAH SZYMANSKI MD
Student in an Organized Health Care Education/Training Program
425 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 675-3391
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC
Clinic/Center (Multi-Specialty)
425 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 675-5201
ADAM G CLEMENTS DO
Family Medicine
425 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 675-3391
DR. TAYLOR DEBOER
Pharmacist
425 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 675-3391
YIA VANG MD
Student in an Organized Health Care Education/Training Program
425 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 675-3391
TIMOTHY RYAN PARKER MD
Psychiatry & Neurology (Psychiatry)
425 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 675-3391
ERIK J GUSTAFSON DO
Family Medicine
425 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 675-3391
REBECCA THAO
Pharmacist
425 WIND RIDGE DR
WAUSAU, WI 54401
Marathon County (715) 675-3391

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 Johnson's NPI number?

The NPI number for Sara Johnson is 1124801576. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Where is Sara Johnson located?

Sara Johnson practices at 425 Wind Ridge Dr, Wausau, WI 54401. The listed phone number is (715) 675-3391.

What is Sara Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sara Johnson enrolled in Medicare?

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

Is Sara Johnson affiliated with any hospitals?

According to CMS data, Sara Johnson is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Sara Johnson was last updated on August 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.