Individual provider Active NPI

Alexandria Marie Sara, NP

  • Women's Health Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1174828446
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
313964 Issued in AZ
Practice address
1005 Division St
Prescott, AZ 86301-1601
Phone
(928) 776-8428
NPI assigned
Jan 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP028517 PA
Nurse Practitioner 363L00000X 15585 TN
Adult Health Nurse Practitioner 363LA2200X 15585 TN
Women's Health Nurse Practitioner 363LW0102X 4704348250 MI
Women's Health Nurse Practitioner 363LW0102X 15585 TN
Women's Health Nurse Practitioner 363LW0102X 313964 AZ Primary

Addresses

Primary practice location

1005 Division St
Prescott, AZ 86301-1601

Mailing address

PO Box 81064
Cleveland, OH 44181-0064
Phone (520) 795-8080

Other practice location 1

3262 N Windsong Dr Ste B
Prescott Valley, AZ 86314
Phone (928) 776-8428

Other names 1

  • Alexandria McClure Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240723003577 PA Practitioner - Nurse Practitioner 1759688997 Reassigns benefits to 1 organization
I20241127001340 AZ Practitioner - Nurse Practitioner 1759688997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

1005 Division St
Prescott, AZ 86301-1601
Phone (928) 776-8428

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15585TNMDNurse Practitioner
313964AZMDWomen's Health Nurse Practitioner
4704348250MIMDWomen's Health Nurse Practitioner
SP028517PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 29, 2024 Accepting new patients
Genesis OB GYN PLLC CurrentSince Jan 20, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Womens Medical Care PC CurrentSince Jan 20, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 29, 2024 Accepting new patients

Locations

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

1005 Division St
Prescott, AZ 86301
Phone (520) 776-8428

3262 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 759-5800

3262 N Windsong Dr
Ste B
Prescott Valley, AZ 86314
Phone (928) 708-4545

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: asara184526@direct.trinity-health.org
  • Direct secure messaging: alexandria.sara.1@19050.direct.athenahealth.com

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 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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1174828446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81064",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441810064",
            "telephone_number": "520-795-8080",
            "fax_number": "520-323-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DIVISION ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011601",
            "telephone_number": "928-776-8428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3262 N Windsong Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "86314",
            "country_code": "US",
            "telephone_number": "928-776-8428",
            "fax_number": "928-776-8057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARA",
        "first_name": "ALEXANDRIA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP028517",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "15585",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "15585",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704348250",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "15585",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "313964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "MCCLURE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.