Individual provider Active NPI

Sarah Chalk, APRN, FNP-BC

  • Family Nurse Practitioner
  • Union, MO
National Provider Identifier
1104590801
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021027709 Issued in MO
Practice address
1935 Prairie Dell Rd Ste 400
Union, MO 63084-4327
Phone
(636) 649-3085
Fax
(636) 649-3087
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021027709 MO Primary

Addresses

Primary practice location

1935 Prairie Dell Rd Ste 400
Union, MO 63084-4327

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (636) 649-3085

Other practice location 1

97 Saint Andrews Dr
Union, MO 63084-4946
Phone (636) 583-2946

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
I20210928001773 MO Practitioner - Nurse Practitioner 7416354808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East Communities 573 clinicians

Practice addresses (Care Compare)

97 Saint Andrews Dr
Union, MO 63084-4946
Phone (636) 583-2946

Hospital & facility affiliations

  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Family CurrentSince Sep 27, 2021 Accepting new patients
Mercy Clinic East Communities CurrentSince Sep 27, 2021 Accepting new patients

Locations

97 Saint Andrews Dr
Union, MO 63084
Phone (636) 583-2946

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

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 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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1104590801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "636-649-3085",
            "fax_number": "636-649-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 PRAIRIE DELL RD STE 400",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630844327",
            "telephone_number": "636-649-3085",
            "fax_number": "636-649-3087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Saint Andrews Dr",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "MO",
            "postal_code": "630844946",
            "country_code": "US",
            "telephone_number": "636-583-2946",
            "fax_number": "636-583-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHALK",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021027709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, MO

Sources for this page

Verify at the official NPI Registry.