Sara Horner, PSYD
Individual provider Active NPI Clinical Psychologist · Bismarck, ND
NPI 1265623177 · NPPES record last updated Apr 18, 2017
Key facts
- NPI
- 1265623177
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 466 (ND)
- Practice address
- 900 E Broadway Ave
Bismarck, ND 58501-4520 - Phone
- (701) 530-7300
- Fax
- (701) 530-7319
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Alexius Medical Center
Practice addresses (Care Compare)
900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000
Hospital & facility affiliations
- CHI St Alexius Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120822000350 | ND | Practitioner - Clinical Psychologist | 9436306701 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 466 | ND | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Alexius Medical Center | Current |
Accepting new patients | |
| St Alexius Medical Center | Current |
Accepting new patients |
Locations
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 466 | ND | Yes |
Addresses
Primary practice location
900 E Broadway Ave
Bismarck, ND 58501-4520
Mailing address
PO Box 997
Bismarck, ND 58502-0997
Phone (701) 530-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1452920 | Medicaid | ND |
Other providers in Bismarck, ND
- Horizon Pharmacy Inc
- Emilie Horne
- Katie Horner
- Keith L Horner
- Kirsten Horner
- Andrew Horning
- Shelly Horning
- Brandon Matthew Horse Looking
- Monica Horst
- Nicholas A Hoskins
All providers in Bismarck, ND · Clinical Psychologist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.