Active NPI
Sara Springer, ANP
- Nurse Practitioner
- Old Monroe, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2012009896
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
- SSM St Joseph Health Center
- SSM St Joseph Hospital West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005024558 | MO | MD | Nurse Practitioner |
| 2012009896 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | 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
- 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.
-
- Clinic/Center
- Clinton, MO
- NPI 1396379830
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
-
- Rural Health Clinic/Center
- Warsaw, MO
- NPI 1366490971
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1194779579
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.