SARAH SYNDERGAARD
NPI 1639764970
Physician Assistant in Appleton, WI

Q: What is Sarah Syndergaard's NPI number?

The NPI number for Sarah Syndergaard is 1639764970. It was assigned to this individual provider in the NPPES registry on March 9, 2021. The provider is also known as Sarah A Hoffman PA.

Q: What is Sarah Syndergaard's specialty?

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

Q: Is Sarah Syndergaard enrolled in Medicare?

No. Sarah Syndergaard has opted out of Medicare through May 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Sarah Syndergaard was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 09, 2021Opted out of Medicare · through May 29, 2027

2000 E MILESTONE DR, APPLETON, WI 54913(920) 731-8131(920) 832-0444 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2023, Jul 18, 2023, Feb 23, 2023 and 4 more (7 updates tracked since 2021).

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About Sarah Syndergaard NPPES

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

SARAH SYNDERGAARD (NPI 1639764970) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (5547-23) and active in the NPI registry since March 2021. She has opted out of Medicare through May 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639764970

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSARAH SYNDERGAARD

Location Address2000 E MILESTONE DRAppleton, WI 54913-6701

Mailing Address2000 E Milestone DrAppleton, WI 54913-6701 · (920) 731-8131 · Fax (920) 832-0444

Phone(920) 731-8131

Fax(920) 832-0444

Sole ProprietorNo

Enumeration DateMarch 9, 2021

Last NPPES UpdateAugust 15, 20237 updates tracked since enumeration

NPPES CertifiedJuly 19, 2023

✔ NPI 1639764970 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 · 5547-23

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 E MILESTONE DR, Appleton, WI 54913

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Other Names 1

Former Name (1)Sarah A Hoffman Pa

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sarah Syndergaard has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 29, 2025 through May 29, 2027.

Opt-Out Effective DateMay 29, 2025

Opt-Out In Effect ThroughMay 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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.

ALEXIS D WELHOUSE CST

Specialist/Technologist, Other (Surgical Technologist)