Individual provider Active NPI

Sarah Ann Sotta, AGNP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1164913141
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018005064 Issued in MO
Practice address
4921 Parkview PL
Ste 8C
Saint Louis, MO 63110-1032
Phone
(314) 362-5298
Fax
(314) 362-5743
NPI assigned
May 24, 2018
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2018005064 MO Primary

Addresses

Primary practice location

4921 Parkview PL
Ste 8C
Saint Louis, MO 63110-1032

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (248) 266-4200

Other practice location 1

8710 Manchester Rd
Saint Louis, MO 63144-2724
Phone (314) 961-3570

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
I20180727001766 MO Practitioner - Nurse Practitioner 9830446491 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloom Primary Mo, LLCGroup PAC ID 2062997638, 4 clinicians

Practice addresses (Care Compare)

Saint Louis, MO 63141
Phone (720) 923-1250

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
Washington University CurrentSince May 22, 2018 Accepting new patients
Ipc Pac Healthcare Services of Missouri Inc Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
Missouri Mso LLC CurrentSince Dec 8, 2025 Accepting new patients
Vpa PC CurrentSince Jan 1, 2024 Accepting new patients
Vpa PC CurrentSince Jan 1, 2024 Accepting new patients
GM Health LLC CurrentSince Jun 9, 2025 Accepting new patients
Washington University CurrentSince May 22, 2018 Accepting new patients

Locations

1501 Charbonier Rd
Florissant, MO 63031
Phone (314) 921-2700

4921 Parkview Pl
Saint Louis, MO 63110
Phone (314) 747-4850

4921 Parkview Pl
Ste 8C
Saint Louis, MO 63110
Phone (314) 454-8877

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

8706 Manchester Rd
Ste 106
Saint Louis, MO 63144
Phone (314) 961-3570

8710 Manchester Rd
Saint Louis, MO 63144
Phone (314) 961-3570

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1164913141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-266-4200",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "STE 8C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-362-5298",
            "fax_number": "314-362-5743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8710 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631442724",
            "country_code": "US",
            "telephone_number": "314-961-3570",
            "fax_number": "314-961-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTTA",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018005064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.