Individual provider Active NPI

Sarah Louise Rouse, NP

  • Family Nurse Practitioner
  • Ukiah, CA
National Provider Identifier
1285499749
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029062 Issued in CA
Practice address
240 Hospital Dr
Ukiah, CA 95482-4558
Phone
(707) 462-1928
Fax
(707) 462-8642
NPI assigned
Feb 14, 2024
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 95029062 CA Primary

Addresses

Primary practice location

240 Hospital Dr
Ukiah, CA 95482-4558

Mailing address

240 Hospital Dr
Ukiah, CA 95482-4558
Phone (707) 462-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240603003613 CA Practitioner - Nurse Practitioner 4183166382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Lakeside Home Medical ServicesGroup PAC ID 1850338054, 19 clinicians
Sutter Bay HospitalsGroup PAC ID 3476506528, 45 clinicians

Practice addresses (Care Compare)

5176 Hill Rd E
OB GYN
Lakeport, CA 95453-6300

987 Parallel Dr
Suite C
Lakeport, CA 95453-5708
Phone (707) 262-5088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95029062CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Hospitals CurrentSince Jun 16, 2025 Accepting new patients
Ukiah Adventist Hospital CurrentSince Jun 1, 2024 Accepting new patients
Ukiah Adventist Hospital CurrentSince Jun 1, 2024 Accepting new patients
Sutter Bay Hospitals CurrentSince Jun 16, 2025 Accepting new patients

Locations

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

987 Parallel Dr
Ste C
Lakeport, CA 95453
Phone (707) 262-5000

240 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-1928

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

Interoperability endpoints

  • Direct secure messaging: srouse647919@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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 6

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": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1285499749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824558",
            "telephone_number": "707-462-1928",
            "fax_number": "707-462-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824558",
            "telephone_number": "707-462-1928",
            "fax_number": "707-462-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "SARAH",
        "middle_name": "LOUISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.