Individual provider Active NPI

Sara Adene Daso, NP-C

  • Family Nurse Practitioner
  • Wooster, OH
National Provider Identifier
1124455068
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.15216-NP Issued in OH
Practice address
2284 Back Orrville Rd
Wooster, OH 44691
Phone
(866) 389-2727
NPI assigned
Oct 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 COA.15216-NP OH Primary

Addresses

Primary practice location

2284 Back Orrville Rd
Wooster, OH 44691

Mailing address

2284 Back Orrville Rd
Wooster, OH 44691-7961
Phone (668) 389-2727

Other practice location 1

4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NH, ME, DC, KS, RI, MA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20131119000356 OH Practitioner - Nurse Practitioner 7618103854 Reassigns benefits to 1 organization
I20250314001278 NH Practitioner - Nurse Practitioner 7618103854
I20250314001348 ME Practitioner - Nurse Practitioner 7618103854
I20250401002488 DC Practitioner - Nurse Practitioner 7618103854 Reassigns benefits to 1 organization
I20250402000200 KS Practitioner - Nurse Practitioner 7618103854 Reassigns benefits to 1 organization
I20250501000567 RI Practitioner - Nurse Practitioner 7618103854 Reassigns benefits to 1 organization
I20250609000886 MA Practitioner - Nurse Practitioner 7618103854

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.15216-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Mar 17, 2025 Accepting new patients
Minuteclinic Diagnostic of Ohio LLC Family CurrentSince Oct 11, 2013 Accepting new patients
MC Medical Group of DC, PC Family CurrentSince Apr 2, 2025 Accepting new patients
Minuteclinic Diagnostic of Rhode Island, LLC Family CurrentSince Apr 24, 2025 Accepting new patients

Locations

320 40th St NE
Washington, DC 20019
Phone (202) 236-1840

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546

4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407

2284 Back Orrville Rd
Wooster, OH 44691
Phone (330) 264-7788

1054 Cass Ave
Woonsocket, RI 02895
Phone (401) 767-3600

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1124455068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 BACK ORRVILLE RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917961",
            "telephone_number": "668-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 BACK ORRVILLE RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "44691",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4961 Roberts Rd",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430268129",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASO",
        "first_name": "SARA",
        "middle_name": "ADENE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15216-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.