Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SARAH R SARK
NPI 1265359640
Nurse Practitioner - Gerontology in Goshen, IN

Q: What is Sarah Sark's NPI number?

The NPI number for Sarah Sark is 1265359640. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Q: What is Sarah Sark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Sark was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 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 July 06, 2026PECOS Enrolled

1855 S MAIN ST STE A, GOSHEN, IN 46526(574) 533-7476(574) 533-7145 Get Directions Write a Review

NPPES record added: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2026, Jul 6, 2026 (2 updates tracked since 2026).

On this page

About Sarah R Sark NPPES

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

SARAH R SARK (NPI 1265359640) is an individual gerontology provider in Goshen, Indiana, licensed in Indiana (28244568A) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265359640

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSARAH R SARK

Location Address1855 S MAIN ST STE AGoshen, IN 46526-4853

Mailing Address1855 S Main St Ste AGoshen, IN 46526-4853 · (574) 533-7476 · Fax (574) 533-7145

Phone(574) 533-7476

Fax(574) 533-7145

Sole ProprietorNo

Enumeration DateJuly 6, 2026

Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1265359640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IN · 28244568A

1855 S MAIN ST STE A, Goshen, IN 46526

Open in Google Maps ↗

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 R Sark 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 8

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

DR. FARID JALINOUS M.D.

Internal Medicine (Interventional Cardiology)