Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sara Formankiewicz, PA-C

Individual provider Physician Assistant · NPI 1467902874

Sara Formankiewicz, PA-C is a Physician Assistant in Reedsburg, Wisconsin. Qualified in 2016, 10 years ago. Practices with The Monroe Clinic, Inc, a 201-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone: (608) 768-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 515 22nd Ave, Monroe, WI 53566-1569 — (608) 324-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 3930 (WI)

Record details

NPI number1467902874
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2016
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Monroe Clinic, Inc. — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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