Individual provider Active NPI

Sara Springer, ANP

  • Nurse Practitioner
  • Old Monroe, MO
National Provider Identifier
1104186345
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2012009896 Issued in MO
Practice address
14 Jordan Marie LN
Old Monroe, MO 63369-2146
Phone
(636) 720-0310
Fax
(636) 720-0311
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2005024558 MO
Nurse Practitioner 363L00000X 2012009896 MO Primary

Addresses

Primary practice location

14 Jordan Marie LN
Old Monroe, MO 63369-2146

Mailing address

70 Jungermann Cir Ste 302
Saint Peters, MO 63376-1637
Phone (636) 706-5114

Other practice location 1

70 Jungermann Cir Ste 302
Saint Peters, MO 63376-1637
Phone (636) 720-0310

Other practice location 2

14 Jordan Marie Ln
Old Monroe, MO 63369-2146
Phone (636) 720-0310

Other names 1

  • Sara Khuraibet Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20120731000203 MO Practitioner - Nurse Practitioner 2961668363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Nephrology Associates IncGroup PAC ID 8224088802, 9 clinicians

Practice addresses (Care Compare)

70 Jungermann Cir
Suite 302
Saint Peters, MO 63376-1637
Phone (636) 720-0310

Hospital & facility affiliations

  • Barnes-Jewish St Peters Hospital Hospital, Saint Peters, MO, CCN 260191
  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005
  • SSM St Joseph Hospital West Hospital, Lake Saint Louis, MO, CCN 260200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2005024558MOMDNurse Practitioner
2012009896MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Memorial Hospital District Current Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Aug 1, 2024 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Aug 1, 2024 Accepting new patients
Golden Valley Memorial Hospital District Past Accepting new patients
Inpatient Consultants of Missouri Inc Past Accepting new patients

Locations

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

Interoperability endpoints

  • Direct secure messaging: sspringer47808@direct.acumenmd.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1104186345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 JUNGERMANN CIR STE 302",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761637",
            "telephone_number": "636-706-5114",
            "fax_number": "636-720-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 JORDAN MARIE LN",
            "city": "OLD MONROE",
            "state": "MO",
            "postal_code": "633692146",
            "telephone_number": "636-720-0310",
            "fax_number": "636-720-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Jungermann Cir Ste 302",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761637",
            "country_code": "US",
            "telephone_number": "636-720-0310",
            "fax_number": "636-720-0311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Jordan Marie Ln",
            "address_purpose": "LOCATION",
            "city": "Old Monroe",
            "state": "MO",
            "postal_code": "633692146",
            "country_code": "US",
            "telephone_number": "636-720-0310",
            "fax_number": "636-720-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "SARA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2005024558",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2012009896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "KHURAIBET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Old Monroe, MO

Sources for this page

Verify at the official NPI Registry.