Individual provider Active NPI

Sarah Blankenheimer, FNP-C

  • Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1265940415
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP11211 Issued in AZ
Practice address
2451 E Baseline Rd Ste 425
Gilbert, AZ 85234-0049
Phone
(480) 494-2770
NPI assigned
Jan 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 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 RN168011 AZ
Nurse Practitioner 363L00000X AP11211 AZ Primary

Addresses

Primary practice location

2451 E Baseline Rd Ste 425
Gilbert, AZ 85234-0049

Mailing address

2451 E Baseline Rd Ste 425
Gilbert, AZ 85234-0049
Phone (480) 494-2770

Other names 1

  • Sarah Bukshpan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180524002756 AZ Practitioner - Nurse Practitioner 8628333564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonhoeffer Rheumatology Institute LLCGroup PAC ID 1850601360, 10 clinicians

Practice addresses (Care Compare)

2451 E Baseline Rd
Suite 425
Gilbert, AZ 85234-0049
Phone (480) 494-2770

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN168011AZMDRegistered Nurse
AP11211AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Jun 1, 2018 Accepting new patients
Bonhoeffer Rheumatology Institute, LLC CurrentSince Apr 6, 2024 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jun 1, 2018 Accepting new patients

Locations

2451 E Baseline Rd
Ste 425
Gilbert, AZ 85234
Phone (480) 494-2770

1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700

1300 N 12th St
Ste 320
Phoenix, AZ 85006
Phone (602) 521-3050

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1300 N 12th St
Ste 612
Phoenix, AZ 85006
Phone (602) 258-4875

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGIFDD

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": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1265940415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 425",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852340049",
            "telephone_number": "480-494-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 425",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852340049",
            "telephone_number": "480-494-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENHEIMER",
        "first_name": "SARAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN168011",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP11211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BUKSHPAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.