SARA DOORNBOSCH NP
NPI 1902425937
Nurse Practitioner in Oak Lawn, IL

Active since April 09, 2020PECOS Enrolled
6356 W 95TH ST, OAK LAWN, IL 60453(708) 907-4355 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2021, Apr 9, 2020 (2 updates tracked since 2020).

About Sara Doornbosch Np NPPES

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

SARA DOORNBOSCH NP (NPI 1902425937) is an individual nurse practitioner in Oak Lawn, Illinois, licensed in Illinois (209020912) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Lenox.

NPPES Registry Identity

NPI1902425937
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSARA DOORNBOSCHCredential: NP
Location Address6356 W 95TH STOak Lawn, IL 60453-2202
Mailing Address6356 W 95th StOak Lawn, IL 60453-2202 · (708) 907-4355
Sole ProprietorNo
Enumeration DateApril 9, 2020
Last NPPES UpdateAugust 9, 20212 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
NPI 1902425937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209020912
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6356 W 95TH ST, Oak Lawn, IL 60453

Secondary Practice Location 1

Location 11900 Silver Cross BlvdNew Lenox, IL 60451-9509 · Phone (815) 300-1100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sara Doornbosch Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60453 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 2

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

Non-Pharmacy Dispensing Site
6356 W 95TH ST
OAK LAWN, IL 60453
Physician Assistant
6356 W 95TH ST
OAK LAWN, IL 60453

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 Sara Doornbosch's NPI number?

The NPI number for Sara Doornbosch is 1902425937. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Sara Doornbosch located?

Sara Doornbosch practices at 6356 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 907-4355.

What is Sara Doornbosch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sara Doornbosch enrolled in Medicare?

Yes. Sara Doornbosch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sara Doornbosch was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.