JOSEPH FRANK SEDLAR III FNP-BC
NPI 1942868815
Nurse Practitioner - Family in Midland, MI
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
Specialties & Licenses
Accepted Insurance
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
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.
Medicare Billing Reassignments
6Medicare enrollment records show Joseph Sedlar reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Midland, MI 48640
- Reassigned Medicare billing, Michigan enrollment
- 197 clinicians in this Medicare group
Midland, MI 48670
- Reassigned Medicare billing, Michigan enrollment
- 536 clinicians in this Medicare group
Saginaw, MI 48602
- Reassigned Medicare billing, Michigan enrollment
- 14 clinicians in this Medicare group
Saint Louis, MI 48880
- Reassigned Medicare billing, Michigan enrollment
- 258 clinicians in this Medicare group
Gladwin, MI 48624
- Reassigned Medicare billing, Michigan enrollment
- 162 clinicians in this Medicare group
Clare, MI 48617
- Reassigned Medicare billing, Michigan enrollment
- 62 clinicians in this Medicare group
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 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.
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, MIMymichigan Medical Center Clare
Acute Care Hospitals · Clare, MIMymichigan Medical Center Midland
Acute Care Hospitals · Midland, MIPhysician 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.
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.
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.
MIDLAND, MI 48640
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 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.
Where is Joseph Sedlar located?
Joseph Sedlar practices at 555 W Wackerly St Ste 1600, Midland, MI 48640. The listed phone number is (989) 839-8810.
What is Joseph Sedlar's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Joseph Sedlar enrolled in Medicare?
Yes. Joseph Sedlar 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 Joseph Sedlar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Sedlar reassigns Medicare benefits to 6 organizations: Mymichigan Medical Group (Midland, MI), Mymichigan Medical Center Midland (Midland, MI), Saginaw Cooperative Hospitals, Inc (Saginaw, MI), Mymichigan Medical Center Alma (Saint Louis, MI), Mymichigan Medical Center Gladwin (Gladwin, MI) and 1 more organization, listed in the Medicare section above. 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 Joseph Sedlar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joseph Sedlar accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Joseph Sedlar 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 Joseph Sedlar affiliated with any hospitals?
According to CMS data, Joseph Sedlar is affiliated with Ascension St Mary's Hospital, Mymichigan Medical Center Clare and Mymichigan Medical Center Midland.
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.
# Joseph Frank Sedlar III, FNP-BC · NPI 1942868815
Family physician in Midland, Michigan. Individual provider, active in the CMS NPPES registry since June 4, 2019.
## Identity
- **NPI:** 1942868815 (Entity type: Individual)
- **Enumerated:** June 4, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704308047 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 555 W WACKERLY ST STE 1600, Midland, MI 48640-4710
- **Phone:** (989) 839-8810
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Mymichigan Medical Group (NPI 1477503852, Midland, MI); Mymichigan Medical Center Midland (NPI 1205889490, Midland, MI); Saginaw Cooperative Hospitals, Inc (NPI 1275620122, Saginaw, MI); Mymichigan Medical Center Alma (NPI 1255316832, Saint Louis, MI); Mymichigan Medical Center Gladwin (NPI 1073999298, Gladwin, MI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1942868815) · Data from the CMS NPPES public registry.