Individual provider Active NPI

Sarah R. G. Leslie, PA-C

  • Medical Physician Assistant
  • Millersburg, PA
National Provider Identifier
1063712818
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056256 Issued in PA
Practice address
108 Roadcap Rd
Millersburg, PA 17061-9048
Phone
(717) 447-2910
Fax
(717) 952-2075
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA056256 PA Primary

Addresses

Primary practice location

108 Roadcap Rd
Millersburg, PA 17061-9048

Mailing address

108 Roadcap Rd
Millersburg, PA 17061-9048
Phone (717) 447-2910

Other identifiers 1

IdentifierTypeStateIssuer
3103023MedicaidNH

Other names 1

  • Sarah Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20160322001604 NH Practitioner - Physician Assistant 3971785346 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1130NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clearchoicemd, PLLC CurrentSince Sep 2, 2022 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Locations

410 Miracle Mile
Lebanon, NH 03766
Phone (603) 276-3260

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1063712818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ROADCAP RD",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170619048",
            "telephone_number": "717-447-2910",
            "fax_number": "717-952-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ROADCAP RD",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170619048",
            "telephone_number": "717-447-2910",
            "fax_number": "717-952-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "SARAH",
        "middle_name": "R. G.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3103023",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WILLIAMS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Millersburg, PA

Sources for this page

Verify at the official NPI Registry.