Individual provider Active NPI

Sarah Brunner, PA-C

  • Physician Assistant
  • Warrington, PA
National Provider Identifier
1255714499
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057599 Issued in PA
Practice address
865 Easton Rd Ste 150
Heritage Warrington Center
Warrington, PA 18976-7800
Phone
(215) 343-5900
Fax
(215) 343-5992
NPI assigned
Jul 7, 2015
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA057599 PA Primary

Addresses

Primary practice location

865 Easton Rd Ste 150
Heritage Warrington Center
Warrington, PA 18976-7800

Mailing address

151 Southhall LN
Ste 300
Maitland, FL 32751-7172
Phone (407) 875-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150813009742 PA Practitioner - Physician Assistant 3274848718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Pennsylvania, PCGroup PAC ID 5799091690, 29 clinicians

Practice addresses (Care Compare)

1010 Horsham Rd
Suite 201
North Wales, PA 19454-1500
Phone (215) 362-2386

525 Jamestown St
Suite 206
Philadelphia, PA 19128-1751
Phone (215) 482-7546

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
83.84
Promoting interoperability
85
Improvement activities
40
Cost
59.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA057599PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Mohs Surgery Center PC PastSince Apr 1, 2021 Accepting new patients
Andrew K Pollack Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1255714499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN",
            "address_2": "STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 EASTON RD STE 150",
            "address_2": "HERITAGE WARRINGTON CENTER",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189767800",
            "telephone_number": "215-343-5900",
            "fax_number": "215-343-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrington, PA

Sources for this page

Verify at the official NPI Registry.