Individual provider Active NPI

Sabra D Peetz, PA-C

  • Physician Assistant
  • Sidney, NE
National Provider Identifier
1003447194
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone
(308) 254-5825
NPI assigned
Jan 28, 2020
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1000 Pole Creek Xing
Sidney, NE 69162-2901

Mailing address

11915 US Highway 30
Sidney, NE 69162-3015
Phone (303) 552-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200227001920 NE Practitioner - Physician Assistant 6608203864 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Pole Creek Xing
Sidney, NE 69162-2900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Association CurrentSince Oct 1, 2025 Accepting new patients
Cheyenne County Hospital Association Inc Physician Assistant CurrentSince Dec 1, 2025 Accepting new patients
Cheyenne County Hospital Association CurrentSince Mar 2, 2020 Accepting new patients
Community Hospital Association Physician Assistant CurrentSince Mar 1, 2026 Accepting new patients
Community Hospital Association CurrentSince Oct 1, 2025 Accepting new patients

Locations

1301 E H St
McCook, NE 69001
Phone (308) 344-2650

645 Osage St
Sidney, NE 69162
Phone (308) 254-5825

1000 Pole Creek Xing
Ste 1
Sidney, NE 69162
Phone (308) 254-5544

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1003447194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 US HIGHWAY 30",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691623015",
            "telephone_number": "303-552-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622901",
            "telephone_number": "308-254-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEETZ",
        "first_name": "SABRA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, NE

Sources for this page

Verify at the official NPI Registry.