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SARAH SUZANNE BORTONE FNP-BC
NPI 1740520717
Nurse Practitioner - Family in Mishawaka, IN

Active since February 27, 2013PECOS EnrolledAccepts Medicare Assignment
620 W EDISON RD, SUITE 118, MISHAWAKA, IN 46545(574) 254-1100 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sarah Suzanne Bortone Fnp-bc NPPES

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

SARAH SUZANNE BORTONE FNP-BC (NPI 1740520717) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (28187181A) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1740520717
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARAH SUZANNE BORTONECredential: FNP-BC
Location Address620 W EDISON RD, SUITE 118Mishawaka, IN 46545-2784
Mailing Address56930 Wild Heather DrSouth Bend, IN 46619-9476 · (574) 289-4986
Phone(574) 254-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 27, 2013
✔ NPI 1740520717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28187181A
620 W EDISON RD, Mishawaka, IN 46545
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Sarah Suzanne Bortone Fnp-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 ID4183867211
PECOS Enrollment IDI20130821000424
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 7

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, 30-39 minutes 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.
159 services136 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
24 services18 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
19 services12 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
19 services17 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services14 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

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

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Community Hospital Of Bremen Inc

Critical Access Hospitals · Bremen, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151300
Location1020 High RdBremen, IN 46506 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
90%39 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%168 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
4%113 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%166 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
80%342 patients4/55-star benchmark: 88%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 113 patients
0%113 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

RADIOLOGY, INC
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
FRANCOISE M DION MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
TOBY S KRAMER MD
Radiology (Radiation Oncology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
JAMES C FIELD MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (547) 258-1100
CHRISTINE MARSCH O'MALLEY MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
MICHAEL T. BRENDLE M.D.
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
DANIEL A BOLL MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
MICHAEL F GRANTHAM MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100

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 Bortone's NPI number?

The NPI number for Sarah Bortone is 1740520717. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Sarah Bortone located?

Sarah Bortone practices at 620 W Edison Rd Suite 118, Mishawaka, IN 46545. The listed phone number is (574) 254-1100.

What is Sarah Bortone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sarah Bortone enrolled in Medicare?

Yes. Sarah Bortone 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.

What insurance does Sarah Bortone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Sarah Bortone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sarah Bortone affiliated with any hospitals?

According to CMS data, Sarah Bortone is affiliated with Saint Joseph Regional Medical Center, Elkhart General Hospital, Memorial Hospital Of South Bend, Saint Joseph Regional Medical Center - Plymouth and Community Hospital Of Bremen Inc.

When was this NPI record last updated?

The NPPES record for Sarah Bortone was last updated on February 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.