Individual provider Active NPI

Sarah J Barnett, PA C

  • Physician Assistant
  • Watertown, WI
National Provider Identifier
1003882788
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1613023 Issued in WI
Practice address
1507 Doctors CT
Watertown, WI 53094-4101
Phone
(920) 261-4111
Fax
(920) 262-1838
NPI assigned
Feb 23, 2006
Last updated
Nov 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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 1613023 WI Primary

Addresses

Primary practice location

1507 Doctors CT
Watertown, WI 53094-4101

Mailing address

1507 Doctors CT
Watertown, WI 53094-4101
Phone (920) 261-4111

Other names 1

  • Ms. Sarah J Vose Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040210000317 WI Practitioner - Physician Assistant 5395639520 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1613023WIMDPhysician Assistant
1613WIMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Watertown Physician Practices LLC Physician Assistant CurrentSince Sep 1, 2015 Accepting new patients

Locations

111 Anna St
Waterloo, WI 53594
Phone (920) 478-3776

123 Hospital Dr
Ste 2009
Watertown, WI 53098
Phone (920) 262-4560

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

128 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17022/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1003882788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 DOCTORS CT",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944101",
            "telephone_number": "920-261-4111",
            "fax_number": "920-262-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 DOCTORS CT",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944101",
            "telephone_number": "920-261-4111",
            "fax_number": "920-262-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "SARAH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1613023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "VOSE",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "PA C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watertown, WI

Sources for this page

Verify at the official NPI Registry.