Individual provider Active NPI

Sarah Elizabeth Roach, MS, APRN, FNP-BC

  • Family Nurse Practitioner
  • Ithaca, NY
National Provider Identifier
1245908052
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350479 Issued in NY
Practice address
401 Cayuga Park LN Ste 201
Ithaca, NY 14850-1180
Phone
(607) 277-4341
Fax
(607) 216-0918
NPI assigned
Sep 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 854538 NY
Family Nurse Practitioner 363LF0000X 350479 NY Primary

Addresses

Primary practice location

401 Cayuga Park LN Ste 201
Ithaca, NY 14850-1180

Mailing address

401 Cayuga Park LN Ste 201
Ithaca, NY 14850-1180
Phone (607) 277-4341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230324001050 NY Practitioner - Nurse Practitioner 9234503756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians

Practice addresses (Care Compare)

8 Brentwood Dr
Suite D
Ithaca, NY 14850-1871
Phone (607) 277-4341

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
854538NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cayuga Medical Associates, PC CurrentSince Mar 6, 2023 Accepting new patients

Locations

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

209 W State St
Ithaca, NY 14850
Phone (607) 257-5263

8 Brentwood Dr
Ste D
Ithaca, NY 14850
Phone (607) 257-5263

401 Cayuga Park Ln
Ste 201
Ithaca, NY 14850
Phone (607) 277-4341

Interoperability endpoints

  • Direct secure messaging: sroach27202@direct.xtensys.com

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.

Hospital & facility affiliations 2

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": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1245908052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CAYUGA PARK LN STE 201",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501180",
            "telephone_number": "607-277-4341",
            "fax_number": "607-216-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CAYUGA PARK LN STE 201",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501180",
            "telephone_number": "607-277-4341",
            "fax_number": "607-216-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "MS, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "854538",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.