SARA FORMANKIEWICZ PA-C
NPI 1467902874
Physician Assistant in Reedsburg, WI

Q: What is Sara Formankiewicz's NPI number?

The NPI number for Sara Formankiewicz is 1467902874. It was assigned to this individual provider in the NPPES registry on October 10, 2016. The provider is also known as Sara Busskohl.

Q: What is Sara Formankiewicz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since October 10, 2016PECOS EnrolledAccepts Medicare Assignment

2000 N DEWEY AVE, REEDSBURG, WI 53959(608) 768-3900 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2023, Jul 31, 2020, Jul 21, 2020 and 3 more (6 updates tracked since 2016).

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About Sara Formankiewicz Pa-c NPPES

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

SARA FORMANKIEWICZ PA-C (NPI 1467902874) is an individual physician assistant in Reedsburg, Wisconsin, licensed in Wisconsin (3930) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1467902874

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSARA FORMANKIEWICZCredential: PA-C

Location Address2000 N DEWEY AVEReedsburg, WI 53959-1049

Mailing Address2000 N Dewey AveReedsburg, WI 53959-1049 · (608) 768-3900

Phone(608) 768-3900

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 10, 2016

Last NPPES UpdateMarch 10, 20236 updates tracked since enumeration

NPPES CertifiedMarch 10, 2023

✔ NPI 1467902874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 3930

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2000 N DEWEY AVE, Reedsburg, WI 53959

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Other Names 1

Former Name (1)Sara Busskohl

Secondary Practice Location 1

Location 1515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-1000

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 Formankiewicz Pa-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 ID8123308525

PECOS Enrollment IDI20161130001987

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 5

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.

195 services182 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

21 services21 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.

19 services19 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

16 services16 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520028

Location515 22nd AveMonroe, WI 53566 · Green County

Emergency services Birthing friendly

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520066

Location1000 Mineral Point AveJanesville, WI 53548 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53959 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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 20

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

EMILY SEIDEMAN MS, RD, CD

Dietitian, Registered