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SARAH OBERHOLTZER AGPCNP-BC
NPI 1740052968
Nurse Practitioner - Gerontology in Jefferson, WI

Active since October 23, 2023PECOS EnrolledAccepts Medicare Assignment
1130 COLLINS RD, JEFFERSON, WI 53549(872) 231-3162 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sarah Oberholtzer Agpcnp-bc NPPES

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

SARAH OBERHOLTZER AGPCNP-BC (NPI 1740052968) is an individual gerontology provider in Jefferson, Wisconsin, licensed in Wisconsin (13979-33) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740052968
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSARAH OBERHOLTZERCredential: AGPCNP-BC
Location Address1130 COLLINS RDJefferson, WI 53549-2939
Mailing AddressPo Box 74008272Chicago, IL 60674-8272 · (702) 899-0595 · Fax (702) 977-1496
Phone(872) 231-3162
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 23, 2023
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1740052968 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
Licenses✔ Licensed in WI · 13979-33✔ Licensed in IL · 209.027343
1130 COLLINS RD, Jefferson, WI 53549
Open in Google Maps ↗

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

Sarah Oberholtzer Agpcnp-bc 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 ID1658714910
PECOS Enrollment IDI20240205001320
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 Reassignments

2

Medicare enrollment records show Sarah Oberholtzer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

In Home Medical Group LLC
52 mi
Family
4215 NEWBURG RD
Rockford, IL 61108
  • Reassigned Medicare billing, Wisconsin enrollment
  • 13 clinicians in this Medicare group
NPI 1497087175 (815) 988-8500
Integrated Rehab Consultants LLC
98 mi
Physical Medicine & Rehabilitation
401 N MICHIGAN AVENUE
Chicago, IL 60611
  • Reassigned Medicare billing, Wisconsin enrollment
  • 17 clinicians in this Medicare group
NPI 1528379195 (725) 710-9208

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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
211 services88 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
198 services78 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
163 services80 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
90 services42 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53549 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 17

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

ALDEN ESTATES OF COUNTRYSIDE, INC.
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1130 COLLINS RD
JEFFERSON, WI 53549
Jefferson County (920) 674-3170
JANE EVENSON
Occupational Therapy Assistant
1130 COLLINS RD
JEFFERSON, WI 53549
Jefferson County (920) 674-6077
UROGYN SERVICES, LLC
Nurse Practitioner
1130 COLLINS RD
JEFFERSON, WI 53549
Jefferson County (920) 674-3170
JACQUELINE NICHOLSON PT, DPT
Physical Therapist
1130 COLLINS RD
JEFFERSON, WI 53549
Jefferson County (262) 470-6950
ALDEN ESTATES OF COUNTRYSIDE, INC.
Skilled Nursing Facility
1130 COLLINS RD
JEFFERSON, WI 53549
Jefferson County (773) 286-6622
HILDEGARD KOPP
Speech-Language Pathologist
1130 COLLINS RD
JEFFERSON, WI 53549
Jefferson County (920) 674-6077
GAYLE RENZ
Occupational Therapy Assistant
1130 COLLINS RD
JEFFERSON, WI 53549
Jefferson County (920) 674-3170
ALICIA KRAUCUNAS
Speech-Language Pathologist
1130 COLLINS RD
JEFFERSON, WI 53549
Jefferson County (920) 674-6077

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 Sarah Oberholtzer's NPI number?

The NPI number for Sarah Oberholtzer is 1740052968. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Sarah Oberholtzer located?

Sarah Oberholtzer practices at 1130 Collins Rd, Jefferson, WI 53549. The listed phone number is (872) 231-3162.

What is Sarah Oberholtzer's specialty?

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

Is Sarah Oberholtzer enrolled in Medicare?

Yes. Sarah Oberholtzer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sarah Oberholtzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Oberholtzer reassigns Medicare benefits to 2 organizations: In Home Medical Group LLC (Rockford, IL) and Integrated Rehab Consultants LLC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Oberholtzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sarah Oberholtzer was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.