Individual provider Active NPI

Sarah R Bardwell, MD

  • Family Medicine Physician
  • Nampa, ID
National Provider Identifier
1194308387
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-16908 Issued in ID
Practice address
215 E Hawaii Ave Ste 140
Nampa, ID 83686-6011
Phone
(208) 514-2529
Fax
(208) 375-2217
NPI assigned
May 4, 2021
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-16908 ID Primary

Addresses

Primary practice location

215 E Hawaii Ave Ste 140
Nampa, ID 83686-6011

Mailing address

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Other practice location 1

9850 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 205-7282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240918003794 ID Practitioner - Family Practice 4486878675 Reassigns benefits to 1 organization
I20251125001315 CO Practitioner - Family PracticePractitioner - Hospitalist 4486878675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Aurora, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Health IncGroup PAC ID 6709986797, 106 clinicians
Trinidad Area Health AssociationGroup PAC ID 2769394055, shared by 2 NPIs, 28 clinicians

Practice addresses (Care Compare)

215 E Hawaii Ave
Nampa, ID 83686-6011
Phone (208) 514-2529

400 Benedicta Ave
Trinidad, CO 81082-2089
Phone (719) 846-2206

410 Benedicta Ave
Trinidad, CO 81082-2005
Phone (719) 846-9213

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

9850 W St Lukes Dr
Suite 329
Nampa, ID 83687-7912
Phone (208) 514-2509

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trinidad Area Health Association CurrentSince Dec 1, 2025 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Feb 3, 2025 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Feb 3, 2025 Accepting new patients
Trinidad Area Health Association Family Medicine CurrentSince Jan 12, 2026 Accepting new patients
Trinidad Area Health Association CurrentSince Dec 1, 2025 Accepting new patients
Full Circle Health, Inc. CurrentSince Dec 8, 2024 Accepting new patients
Full Circle Health, Inc. CurrentSince Oct 21, 2024 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

400 Benedicta Ave
Ste A
Trinidad, CO 81082
Phone (719) 846-2206

410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

215 E Hawaii Ave
Ste 140
Nampa, ID 83686
Phone (208) 514-2529

9850 W St Lukes Dr
Nampa, ID 83687
Phone (208) 205-7282

9850 W St Lukes Dr
Ste 329
Nampa, ID 83687
Phone (208) 331-1155

Interoperability endpoints

  • Direct secure messaging: sarah.bardwell.1@5071.direct.athenahealth.com
  • Direct secure messaging: sbardwell345155@direct.ochin.org

Organizations & group practices 8

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 8

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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1194308387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049251",
            "telephone_number": "208-514-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E HAWAII AVE STE 140",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866011",
            "telephone_number": "208-514-2529",
            "fax_number": "208-375-2217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 W St Lukes Dr",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836877912",
            "country_code": "US",
            "telephone_number": "208-205-7282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDWELL",
        "first_name": "SARAH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-16908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.