Individual provider Active NPI

Sarah Wagner

  • Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1194505941
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5018910 Issued in NC
Practice address
10941 Raven Ridge Rd Ste 103
Raleigh, NC 27614-6487
Phone
(919) 870-6066
NPI assigned
Sep 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 5018910 NC Primary

Addresses

Primary practice location

10941 Raven Ridge Rd Ste 103
Raleigh, NC 27614-6487

Mailing address

1041 Sidney Creek Dr
Zebulon, NC 27597-4444
Phone (252) 808-5490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260211003527 NC Practitioner - Nurse Practitioner 4688153380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1041 Sidney Creek Dr
Zebulon, NC 27597-4444

7780 Brier Creek Pkwy
Suite 200
Raleigh, NC 27617-7849

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5018910NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brier Creek Integrated Pain & Spine PLLC Single Specialty CurrentSince Mar 16, 2026 Accepting new patients

Locations

7780 Brier Creek Pkwy
Ste 200
Raleigh, NC 27617
Phone (919) 246-7266

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1194505941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 SIDNEY CREEK DR",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275974444",
            "telephone_number": "252-808-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10941 RAVEN RIDGE RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146487",
            "telephone_number": "919-870-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5018910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.