Individual provider Active NPI

Sarah Kay Lemback

  • Physician Assistant
  • Elko, NV
National Provider Identifier
1235863770
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3061 Issued in NV
Practice address
1993 Errecart Blvd
Elko, NV 89801-8334
Phone
(775) 753-1049
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA3061 NV Primary

Addresses

Primary practice location

1993 Errecart Blvd
Elko, NV 89801-8334

Mailing address

3142 Newcastle Cir
Elko, NV 89801-2516
Phone (775) 772-8337

Other names 1

  • Sarah Kay Pollock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240904003882 NV Practitioner - Physician Assistant 2860932936 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
Premise Health of Nevada Medical Hinitt P CGroup PAC ID 7214822030, 13 clinicians

Practice addresses (Care Compare)

1993 Errecart Blvd
Elko, NV 89801-8334
Phone (775) 748-4826

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3061NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Nevada Medical Hinitt PC CurrentSince Aug 12, 2024 Accepting new patients
Premise Health of Nevada Medical Hinitt PC CurrentSince Aug 12, 2024 Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

1993 Errecart Blvd
Elko, NV 89801
Phone (775) 748-4826

5500 Maryland Way
Ste 120
Brentwood, TN 37027

Organizations & group practices 3

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1235863770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 NEWCASTLE CIR",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012516",
            "telephone_number": "775-772-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 ERRECART BLVD",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018334",
            "telephone_number": "775-753-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMBACK",
        "first_name": "SARAH",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "POLLOCK",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elko, NV

Sources for this page

Verify at the official NPI Registry.