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

Sara Ruth Hake, FNP

Individual provider Family Nurse Practitioner · NPI 1679806939

Sara Ruth Hake, FNP is a Nurse Practitioner in South Bend, Indiana. Qualified in 1984, 42 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
42
Licensed in
IN
In the registry since
2009
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

211 N Eddy St
South Bend, IN 46617-2808
Phone: (574) 204-6440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71003105A (IN)

Record details

NPI number1679806939
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 17, 2009
Last updated in NPPESMay 17, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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