Individual provider Active NPI

Sarah Kathryn Van Rossum-O'Connell, PA

  • Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1164179792
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2023037284 Issued in MO
Practice address
625 S New Ballas Rd Ste R7040
Saint Louis, MO 63141-8240
Phone
(314) 251-6970
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 2023037284 MO Primary

Addresses

Primary practice location

625 S New Ballas Rd Ste R7040
Saint Louis, MO 63141-8240

Mailing address

625 S New Ballas Rd Ste R7040
Saint Louis, MO 63141-8240
Phone (314) 251-6970

Other practice location 1

901 Patients First Dr Ste 2500
Washington, MO 63090-4700
Phone (314) 251-6970

Other practice location 2

10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197
Phone (314) 251-6970

Other identifiers 1

IdentifierTypeStateIssuer
220130823MedicaidMO

Other names 1

  • Sarah K Borgerding Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20230914002996 MO Practitioner - Physician Assistant 4789048349 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Missouri, Kansas City, School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

615 S New Ballas Rd Administration
Saint Louis, MO 63141-8221

625 S New Ballas Rd
R 7040
Saint Louis, MO 63141-8253
Phone (314) 251-6970

625 S New Ballas Rd
Suite R 7040
St Louis, MO 63141-8221

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023037284MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Sep 11, 2023 Accepting new patients
Washington University CurrentSince Sep 11, 2023 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC CurrentSince Mar 3, 2025 Accepting new patients

Locations

4921 Parkview Pl
Ste 12B
Saint Louis, MO 63110
Phone (314) 747-9889

625 S New Ballas Rd
Ste R7040
Saint Louis, MO 63141
Phone (314) 251-5756

625 S New Ballas Rd
#R7040
Saint Louis, MO 63141

660 S Euclid Ave
Saint Louis, MO 63110

660 S Euclid Ave
#8109
Saint Louis, MO 63110
Phone (314) 362-7841

10012 Kennerly Rd
Ste 101
Saint Louis, MO 63128
Phone (314) 525-4325

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

901 Patients First Dr
Ste 2500
Washington, MO 63090

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.

Hospital & facility affiliations 2

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": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1164179792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD STE R7040",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418240",
            "telephone_number": "314-251-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD STE R7040",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418240",
            "telephone_number": "314-251-6970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Patients First Dr Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630904700",
            "country_code": "US",
            "telephone_number": "314-251-6970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10012 Kennerly Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282197",
            "country_code": "US",
            "telephone_number": "314-251-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN ROSSUM-O'CONNELL",
        "first_name": "SARAH",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2023037284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220130823",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4921 Parkview Pl",
            "address_2": "Div Surg HPB, Ste 12B",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BORGERDING",
            "middle_name": "K",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.