Individual provider Active NPI

Sara Brock

  • Psychiatric/Mental Health Nurse Practitioner
  • Mill Creek, WV
National Provider Identifier
1336604941
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN67253 Issued in WV
Practice address
81 Town Center PLZ
Mill Creek, WV 26280-9752
Phone
(304) 636-0133
NPI assigned
Feb 7, 2019
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN6723-NP-C WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN67253 WV Primary

Addresses

Primary practice location

81 Town Center PLZ
Mill Creek, WV 26280-9752

Mailing address

PO Box 247
Mill Creek, WV 26280-0247
Phone (304) 636-0133

Other practice location 1

240 Allegheny Hwy
Elkins, WV 26241-5749
Phone (304) 636-0133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20190501002492 WV Practitioner - Nurse Practitioner 3971845504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 247
Mill Creek, WV 26280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
APRN6723-NP-CWVMDFamily Nurse Practitioner
APRN67253WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Care Inc. CurrentSince May 16, 2022 Accepting new patients
Valley Health Care, Inc CurrentSince May 16, 2022 Accepting new patients
Valley Health Care, Inc CurrentSince Nov 4, 2019 Accepting new patients

Locations

105 Nathan St
Elkins, WV 26241

240 Allegheny Hwy
Elkins, WV 26241
Phone 30463601332604

46 Town Center Plz
#A
Mill Creek, WV 26280
Phone (304) 335-6005

Interoperability endpoints

  • Direct secure messaging: sara.brock.1@7274.direct.athenahealth.com

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 2

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1336604941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "MILL CREEK",
            "state": "WV",
            "postal_code": "262800247",
            "telephone_number": "304-636-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 TOWN CENTER PLZ",
            "city": "MILL CREEK",
            "state": "WV",
            "postal_code": "262809752",
            "telephone_number": "304-636-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Allegheny Hwy",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262415749",
            "country_code": "US",
            "telephone_number": "304-636-0133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN6723-NP-C",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "APRN67253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WV

Sources for this page

Verify at the official NPI Registry.