Sara Jeanne Marchessault, PA-C, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201702046 Issued in OR

Practice address

501 Main St Ste 308
Klamath Falls, OR 97601-6049

Phone

(541) 273-2634

Fax

(541) 273-1147

NPI assigned

Jan 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: advancedaestheticsandwellness.saramarchessault@155325.advancedmd-direct.com

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.

• Olive Tree Medical Care, LLC

  • Primary Care Clinic/Center
  • Klamath Falls, OR
  • NPI 1366036238
  Medicare reassignment Authorized official
• Advanced Aesthetics and Wellness

  • Primary Care Clinic/Center
  • Klamath Falls, OR
  • NPI 1902591134
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sky Lakes Medical Center Inc

  • Occupational Therapist
  • Klamath Falls, OR
  • NPI 1134270911

  Hospital

  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Care Compare affiliation

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1376909770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976010014",
            "telephone_number": "541-273-2634",
            "fax_number": "541-273-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST STE 308",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016049",
            "telephone_number": "541-273-2634",
            "fax_number": "541-273-1147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 County Road 83",
            "address_purpose": "LOCATION",
            "city": "Canby",
            "state": "CA",
            "postal_code": "960150125",
            "country_code": "US",
            "telephone_number": "530-233-4641 x1313",
            "fax_number": "530-233-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHESSAULT",
        "first_name": "SARA",
        "middle_name": "JEANNE",
        "credential": "PA-C, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "53104",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003479",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201702046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Mann, CADC II
• Aletta Jocelyn Mannix, RN
• Kristina Marie Manzo, PSS/CRM
• Jacqueline N Maraire, MD
• Marc D Orlando MD PC
• Melanie Vade Marcott, QHMA
• Rachel Marie Margis
• Mark Davis, DDS PC
• Mark F Bradbury MD PC
• Robin Yvonne Marostica, CRM2/CADC-R/QMHA-R

• Family Nurse Practitioner in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.