Individual provider Active NPI

Sara M Hake, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Concordia, KS
National Provider Identifier
1275413817
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-84737-022 Issued in KS
Practice address
155 W College Dr
Concordia, KS 66901-5207
Phone
(785) 243-4272
NPI assigned
Sep 4, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-84737-022 KS Primary

Addresses

Primary practice location

155 W College Dr
Concordia, KS 66901-5207

Mailing address

155 W College Dr
Concordia, KS 66901-5207
Phone (785) 243-4272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20251017002680 KS Practitioner - Nurse Practitioner 0345737706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cloud County Health Center IncGroup PAC ID 4082522859, shared by 4 NPIs, 15 clinicians

Practice addresses (Care Compare)

155 W College Dr
Concordia, KS 66901-5207
Phone (785) 243-1234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-84737-022KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud County Health Center Inc CurrentSince Sep 4, 2025 Accepting new patients
Cloud County Health Center Inc CurrentSince Sep 4, 2025 Accepting new patients
Cloud County Health Center Inc CurrentSince Sep 4, 2025 Accepting new patients

Locations

155 W College Dr
Concordia, KS 66901
Phone (785) 243-1234

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.

Hospital & facility affiliations 1

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": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1275413817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W COLLEGE DR",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669015207",
            "telephone_number": "785-243-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W COLLEGE DR",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669015207",
            "telephone_number": "785-243-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKE",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-84737-022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concordia, KS

Sources for this page

Verify at the official NPI Registry.