Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SARAH JANE WAICUS M.D.
NPI 1164362174
Student in an Organized Health Care Education/Training Program in Statesville, NC

Q: What is Sarah Waicus's NPI number?

The NPI number for Sarah Waicus is 1164362174. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Q: What is Sarah Waicus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sarah Waicus was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.

Active since March 30, 2026PECOS Enrolled

557 BROOKDALE DRIVE, IREDELL HEALTH SYSTEM, STATESVILLE, NC 28677(704) 878-4973(704) 878-4568 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2026, Mar 30, 2026 (2 updates tracked since 2026).

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About Sarah Jane Waicus M.d. NPPES

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

SARAH JANE WAICUS M.D. (NPI 1164362174) is an individual student in an organized health care education/training program in Statesville, North Carolina and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164362174

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSARAH JANE WAICUSCredential: M.D.

Location Address557 BROOKDALE DRIVE, IREDELL HEALTH SYSTEMStatesville, NC 28677

Mailing Address124 E Kingston Ave, Apt 1304Charlotte, NC 28203 · (980) 527-4368

Phone(704) 878-4973

Fax(704) 878-4568

Sole ProprietorYes

Enumeration DateMarch 30, 2026

Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1164362174 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.

557 BROOKDALE DRIVE, Statesville, NC 28677

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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)

Sarah Jane Waicus M.d. 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.

Other Providers at the Same Location NPPES 11

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

IMH PROFESSIONAL PATH

General Acute Care Hospital