Individual provider Active NPI

Sarah Pierce Campbell, PA-C

  • Physician Assistant
  • Waco, TX
National Provider Identifier
1346587185
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08266 Issued in TX
Practice address
1615 Wooded Acres Dr Ste 1
Waco, TX 76710-2863
Phone
(254) 229-6815
NPI assigned
Jan 14, 2013
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08266 TX Primary

Addresses

Primary practice location

1615 Wooded Acres Dr Ste 1
Waco, TX 76710-2863

Mailing address

1615 Wooded Acres Dr Ste 1
Waco, TX 76710-2863
Phone (254) 229-6815

Other practice location 1

1402 W Avenue H
Temple, TX 76504-5342
Phone (254) 771-8411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130516000669 TX Practitioner - Physician Assistant 8426295197 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA08266TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Aug 1, 2020 Accepting new patients
DCS Medical PA CurrentSince Aug 1, 2020 Accepting new patients
Scott & White Memorial Hospital Past Accepting new patients

Locations

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1346587185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 WOODED ACRES DR STE 1",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102863",
            "telephone_number": "254-229-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 WOODED ACRES DR STE 1",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102863",
            "telephone_number": "254-229-6815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 W Avenue H",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765045342",
            "country_code": "US",
            "telephone_number": "254-771-8411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SARAH",
        "middle_name": "PIERCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.