Individual provider Active NPI

Sarah Suprise, MMS, PA-C

  • Physician Assistant
  • Rifle, CO
National Provider Identifier
1265089205
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006292 Issued in CO
Practice address
501 Airport Rd
Rifle, CO 81650-8510
Phone
(269) 207-1238
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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 PA.0006292 CO Primary

Addresses

Primary practice location

501 Airport Rd
Rifle, CO 81650-8510

Mailing address

PO Box 912
Rifle, CO 81650-0912
Phone (970) 625-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20201230000340 CO Practitioner - Physician Assistant 0749693240 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians

Practice addresses (Care Compare)

1200 Village Rd
Carbondale, CO 81623-1564
Phone (970) 384-6707

1250 Village Rd
Carbondale, CO 81623-1564
Phone (970) 384-6707

1906 Blake Ave
Glenwood SPGS, CO 81601-4227

2001 N Horseshoe TRL
Silt, CO 81652-9832
Phone (970) 945-6533

350 Market St
Unit 201
Basalt, CO 81621-7403
Phone (970) 945-6533

978 Euclid Ave
Carbondale, CO 81623-1820
Phone (970) 963-3350

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association CurrentSince Nov 15, 2021 Accepting new patients
Grand River Hospital District Current Accepting new patients
Valley View Hospital Association CurrentSince Nov 15, 2021 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Valley View Hospital Association CurrentSince Jul 1, 2023 Accepting new patients
Grand River Hospital District CurrentSince Jan 5, 2021 Accepting new patients
Grand River Hospital District CurrentSince Jan 5, 2021 Accepting new patients
Cardinal Pathology PC Current Accepting new patients
Valley View Hospital Association CurrentSince Nov 15, 2021 Accepting new patients
Grand River Hospital District Past Accepting new patients

Locations

1906 Blake Ave
#C
Glenwood Springs, CO 81601
Phone (970) 384-6782

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100

501 Airport Rd
Fl 2
Rifle, CO 81650
Phone (970) 625-1100

Interoperability endpoints

  • Direct secure messaging: sarah.suprise.1@9028.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1265089205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816500912",
            "telephone_number": "970-625-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510",
            "telephone_number": "269-207-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPRISE",
        "first_name": "SARAH",
        "credential": "MMS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

Verify at the official NPI Registry.