MRS. SARAH ANN HOLEWCZYNSKI RN, NP-C
NPI 1619388717
Nurse Practitioner - Adult Health in South Bend, IN

Q: What is Sarah Holewczynski's NPI number?

The NPI number for Sarah Holewczynski is 1619388717. It was assigned to this individual provider in the NPPES registry on May 12, 2014. The provider is also known as Miss Sarah Ann Monroe Rn.

Q: What is Sarah Holewczynski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since May 12, 2014PECOS EnrolledAccepts Medicare Assignment

615 N MICHIGAN ST 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601(574) 647-3050(574) 647-1094 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2025, Mar 31, 2021, Nov 8, 2019 and 1 more (4 updates tracked since 2016).

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About Mrs. Sarah Ann Holewczynski Rn, Np-c NPPES

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

MRS. SARAH ANN HOLEWCZYNSKI RN, NP-C (NPI 1619388717) is an individual adult health provider in South Bend, Indiana, licensed in Indiana (71004961A) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619388717

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. SARAH ANN HOLEWCZYNSKICredential: RN, NP-C

Location Address615 N MICHIGAN ST 1ST FL HOSPITALIST STESouth Bend, IN 46601-1033

Mailing Address32540 Early RdNew Carlisle, IN 46552-9659

Phone(574) 647-3050

Fax(574) 647-1094

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 12, 2014

Last NPPES UpdateMarch 3, 20254 updates tracked since enumeration

NPPES CertifiedMarch 3, 2025

✔ NPI 1619388717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IN · 71004961A

615 N MICHIGAN ST 1ST FL HOSPITALIST STE, South Bend, IN 46601

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Other Names 1

Former Name (1)Miss Sarah Ann Monroe Rn

Other Identifiers 1

Medicaid201244610IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Sarah Ann Holewczynski Rn, Np-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 ID5294953121

PECOS Enrollment IDI20140905001241

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.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Holewczynski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Anesthesiologists, Inc.

141 mi

Anesthesiology

8111 S EMERSON AVE
Indianapolis, IN 46237

Reassigned Medicare billing, Indiana enrollment
125 clinicians in this Medicare group

NPI 1548210685 (317) 528-3447

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

285 services165 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

171 services119 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

45 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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 20

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

NYCOLE WELLS MD

Internal Medicine