NPIMap

Individual provider Active NPI

Sarah Diane Kurstedt, PA-C

  • Physician Assistant
  • Galax, VA
National Provider Identifier
1104809029
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-001123 Issued in VA
Practice address
199 Hospital Dr
Suite 5
Galax, VA 24333-2454
Phone
(276) 236-6136
Fax
(276) 236-2536
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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 0110-001123 VA Primary

Addresses

Primary practice location

199 Hospital Dr
Suite 5
Galax, VA 24333-2454

Mailing address

55 Cedar PT
Galax, VA 24333-2535
Phone (276) 236-9368

Other identifiers 3

IdentifierTypeStateIssuer
8901171MedicaidVA
008901163MedicaidVA
010014719MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080905000588 VA Practitioner - Physician Assistant 2466528906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians

Practice addresses (Care Compare)

159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-8181

544 E Stuart Dr
Suite D
Galax, VA 24333-2231
Phone (276) 236-6136

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110-001123VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Jan 1, 2000 Accepting new patients
Carilion Giles Community Hospital CurrentSince Aug 1, 2020 Accepting new patients
Carilion Giles Community Hospital CurrentSince Aug 1, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jan 1, 2000 Accepting new patients

Locations

199 Hospital Dr
Ste 7
Galax, VA 24333
Phone (276) 236-5181

199 Hospital Dr
#C4963
Galax, VA 24333

199 Hospital Dr
Ste 5
Galax, VA 24333
Phone (276) 236-6136

416 S Main St
Ste A
Hillsville, VA 24343
Phone (540) 728-7731

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: skurstedt20013@direct.carilionclinic.org

Organizations & group practices 5

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 8

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1104809029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CEDAR PT",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332535",
            "telephone_number": "276-236-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 HOSPITAL DR",
            "address_2": "SUITE 5",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332454",
            "telephone_number": "276-236-6136",
            "fax_number": "276-236-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURSTEDT",
        "first_name": "SARAH",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-001123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901171",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008901163",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010014719",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.