Individual provider Active NPI

Sara Buster

  • Family Nurse Practitioner
  • Chickasha, OK
National Provider Identifier
1265972822
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110831 Issued in OK
Practice address
304 S 29TH St
Chickasha, OK 73018-2501
Phone
(405) 816-8058
Fax
(855) 223-1999
NPI assigned
Mar 1, 2017
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110831 OK Primary

Addresses

Primary practice location

304 S 29TH St
Chickasha, OK 73018-2501

Mailing address

304 S 29TH St
Chickasha, OK 73018-2501
Phone (405) 896-8058

Other identifiers 2

IdentifierTypeStateIssuer
200727820AMedicaidOK
201245280AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20170905002697 OK Practitioner - Nurse Practitioner 7113290610 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110831OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Family Care LLC CurrentSince Jul 23, 2017 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Jan 29, 2018 Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jan 29, 2018 Accepting new patients
Saints Medical Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Jan 29, 2018 Accepting new patients
Saints Medical Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
Summit Medical Center Past Accepting new patients
Mobile Medical II, LLC PastSince Jun 30, 2024 Accepting new patients

Locations

2801 E Memorial Rd
Ste 140
Edmond, OK 73013
Phone (405) 425-6100

3345 Territory Ln
El Reno, OK 73036
Phone (405) 218-2530

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

2919 S Division St
Guthrie, OK 73044
Phone (405) 282-6301

12950 E Britton Rd
#105
Jones, OK 73049
Phone (405) 399-2900

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

520 S Mustang Rd
Yukon, OK 73099
Phone (405) 256-6653

Organizations & group practices 9

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1265972822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S 29TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182501",
            "telephone_number": "405-896-8058",
            "fax_number": "855-223-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S 29TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182501",
            "telephone_number": "405-816-8058",
            "fax_number": "855-223-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTER",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "110831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200727820A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201245280A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

Verify at the official NPI Registry.