NPIMap

Individual provider Active NPI

Sara E Clark, PA-C

  • Physician Assistant
  • North Kansas City, MO
National Provider Identifier
1295364982
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2019041162 Issued in MO
Practice address
2790 Clay Edwards Dr Ste 520B
North Kansas City, MO 64116-3276
Phone
(816) 691-5198
Fax
(816) 346-7095
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2019041162 MO Primary
Physician Assistant 363A00000X 15-02310 KS

Addresses

Primary practice location

2790 Clay Edwards Dr Ste 520B
North Kansas City, MO 64116-3276

Mailing address

6931 NW Avalon St
Kansas City, MO 64152-2910
Phone (217) 853-4191

Other identifiers 1

IdentifierTypeStateIssuer
15-02310OtherKSLICENSE

Other names 1

  • Sara Vodde Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201030002251 MO Practitioner - Physician Assistant 4486064508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Phone (816) 691-2021

9411 N Oak Trfy
Suite 260
Kansas City, MO 64155-2281
Phone (816) 221-6750

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2019041162MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pike County Memorial Hospital CurrentSince Jul 27, 2020 Accepting new patients
Pike County Memorial Hospital CurrentSince Jul 27, 2020 Accepting new patients
Meritas Health Corporation CurrentSince Sep 8, 2025 Accepting new patients
Meritas Health Corporation CurrentSince Sep 8, 2025 Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

1015 W Adams St
Bowling Green, MO 63334
Phone (573) 324-5300

9411 N Oak Trfy
Ste 260
Kansas City, MO 64155
Phone (816) 453-4000

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584

2790 Clay Edwards Dr
Ste 520B
North Kansas City, MO 64116
Phone (816) 691-5198

Interoperability endpoints

  • Direct secure messaging: svodde107124@stormontvaildirect.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/89787a16-eaf7-491e-bab0-d804157796a5/

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1295364982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6931 NW AVALON ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641522910",
            "telephone_number": "217-853-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 520B",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-691-5198",
            "fax_number": "816-346-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2019041162",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "15-02310",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "VODDE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.