SARA OLSON-WIENCEK PMHNP-BC
NPI 1790400786
Nurse Practitioner - Psychiatric/Mental Health in Gardena, CA

Q: What is Sara Olson-wiencek's NPI number?

The NPI number for Sara Olson-wiencek is 1790400786. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Q: What is Sara Olson-wiencek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 11, 2022PECOS EnrolledAccepts Medicare Assignment

1225 W 190TH ST STE 280, GARDENA, CA 90248(310) 515-8113 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2023, Oct 11, 2022 (2 updates tracked since 2022).

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About Sara Olson-wiencek Pmhnp-bc NPPES

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

SARA OLSON-WIENCEK PMHNP-BC (NPI 1790400786) is an individual psychiatric/mental health provider in Gardena, California, licensed in California (NP95022522) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Clara, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790400786

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSARA OLSON-WIENCEKCredential: PMHNP-BC

Location Address1225 W 190TH ST STE 280Gardena, CA 90248-4305

Mailing Address12301 Wilshire Blvd Ste 512Los Angeles, CA 90025-1053

Phone(310) 515-8113

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 11, 2022

Last NPPES UpdateMay 29, 20232 updates tracked since enumeration

NPPES CertifiedMay 29, 2023

✔ NPI 1790400786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · NP95022522

1225 W 190TH ST STE 280, Gardena, CA 90248

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Secondary Practice Location 1

Location 15201 Great America Pkwy Ste 320Santa Clara, CA 95054-1140 · Phone (888) 684-2779

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Providence Health Plan.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

Sara Olson-wiencek Pmhnp-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 ID2567836430

PECOS Enrollment IDI20230315001937

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90248 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

DR. JUAN CRISTOBAL RONDEAU MD

Psychiatry & Neurology (Psychiatry)