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SARA RAE GARDELIUS
NPI 1366039604
Student in an Organized Health Care Education/Training Program in Lebanon, OR

Active since December 21, 2020PECOS Enrolled
200 MULLINS DR, LEBANON, OR 97355(541) 259-0235 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sara Rae Gardelius NPPES

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

SARA RAE GARDELIUS (NPI 1366039604) is an individual student in an organized health care education/training program in Lebanon, Oregon and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366039604
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSARA RAE GARDELIUS
Location Address200 MULLINS DRLebanon, OR 97355-3983
Mailing Address200 Mullins DrLebanon, OR 97355-3983 · (541) 259-0235
Phone(541) 259-0235
Sole ProprietorYes
Enumeration DateDecember 21, 2020
NPPES CertifiedDecember 21, 2020
✔ NPI 1366039604 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.
200 MULLINS DR, Lebanon, OR 97355
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Other Names 1

Former Name (1)Sara Rae Bradford

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 Rae Gardelius 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 20

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

JALINA MUELLER
General Practice
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 908-4101
SAISWATHI PATEL
Psychiatry & Neurology (Psychiatry)
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
HEATHER CHRISTIANSON
Family Medicine
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
HALEY E SANCHEZ
Internal Medicine
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
JESSICA WALLACE
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
KAYLA TRENTER
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
NGHIA LE
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
JOCELYN POWELL
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 207-8321

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 Gardelius's NPI number?

The NPI number for Sara Gardelius is 1366039604. It was assigned to this individual provider in the NPPES registry on December 21, 2020. The provider is also known as Sara Rae Bradford.

Where is Sara Gardelius located?

Sara Gardelius practices at 200 Mullins Dr, Lebanon, OR 97355. The listed phone number is (541) 259-0235.

What is Sara Gardelius'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 Gardelius enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sara Gardelius was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.