Individual provider Active NPI

Sarah Katherine Brock

  • Physician Assistant
  • Fort Kent, ME
National Provider Identifier
1164289401
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
194 E Main St
Fort Kent, ME 04743-1428
Phone
(423) 208-7831
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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 Primary

Addresses

Primary practice location

194 E Main St
Fort Kent, ME 04743-1428

Mailing address

194 E Main St
Fort Kent, ME 04743-1428
Phone (423) 208-7831

Other practice location 1

908 Shady Cir
Signal Mountain, TN 37377-2029
Phone (423) 208-7831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20241218003286 ME Practitioner - Physician Assistant 8022545896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Maine Medical CenterGroup PAC ID 8426952987, 41 clinicians

Practice addresses (Care Compare)

194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Maine Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Northern Maine Medical Center CurrentSince Jan 1, 2025 Accepting new patients

Locations

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

460 Main St
Ste 201
Madawaska, ME 04756
Phone (207) 728-7300

460 Main St
Madawaska, ME 04756
Phone (207) 728-7300

Organizations & group practices 2

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 3

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": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1164289401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431428",
            "telephone_number": "423-208-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 E MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431428",
            "telephone_number": "423-208-7831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 Shady Cir",
            "address_purpose": "LOCATION",
            "city": "Signal Mountain",
            "state": "TN",
            "postal_code": "373772029",
            "country_code": "US",
            "telephone_number": "423-208-7831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "SARAH",
        "middle_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Kent, ME

Sources for this page

Verify at the official NPI Registry.