JOSEPH FRANK SEDLAR III FNP-BC
NPI 1942868815
Nurse Practitioner - Family in Midland, MI

Q: What is Joseph Sedlar's NPI number?

The NPI number for Joseph Sedlar is 1942868815. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Q: What is Joseph Sedlar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joseph Sedlar was last updated on January 21, 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.

Active since June 04, 2019PECOS EnrolledAccepts Medicare Assignment

555 W WACKERLY ST STE 1600, MIDLAND, MI 48640(989) 839-8810 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 21, 2021, Jul 16, 2020, Jun 13, 2019 and 1 more (4 updates tracked since 2019).

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About Joseph Frank Sedlar Iii Fnp-bc NPPES

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

JOSEPH FRANK SEDLAR III FNP-BC (NPI 1942868815) is an individual family provider in Midland, Michigan, licensed in Michigan (4704308047) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Ascension St Mary's Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942868815

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJOSEPH FRANK SEDLAR IIICredential: FNP-BC

Location Address555 W WACKERLY ST STE 1600Midland, MI 48640-4710

Mailing Address4000 Wellness DrMidland, MI 48670-2000

Phone(989) 839-8810

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 4, 2019

Last NPPES UpdateJanuary 21, 20214 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2021

✔ NPI 1942868815 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 MI · 4704308047

555 W WACKERLY ST STE 1600, Midland, MI 48640

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Joseph Frank Sedlar Iii 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 ID5597091108

PECOS Enrollment IDI20190719000606

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 4

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 with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

133 services80 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

118 services83 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

56 services56 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

34 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230077

Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County

Emergency services

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230180

Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230222

Location4000 Wellness DriveMidland, MI 48670 · Midland County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers30 claims61 services$5.32 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$21.01 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$117.18 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier14 claims14 services$172.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

RAIMEE DENISE SCHERTZBERG FNP

Nurse Practitioner (Family)