Active NPI
Sarah O Hartzell, PA-C
- Physician Assistant
- Post Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA685
- Practice address
- 925 E Polston Ave
Post Falls, ID 83854-9049 - Phone
- (208) 618-0787
- Fax
- (844) 807-3782
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA685 | ID | Primary |
Addresses
Primary practice location
925 E Polston Ave
Post Falls, ID 83854-9049
Mailing address
PO Box 1387
Hayden, ID 83835-1387
Phone (208) 415-0299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807829000 | Medicaid | ID |
Other names 1
- Sarah R O'Connor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 E Columbia Ave
Colville, WA 99114-3354
Phone (509) 684-3701
16528 E Desmet CT
Spokane, WA 99216-3522
421 S Division St
Spokane, WA 99202-1331
Phone (509) 474-2100
Hospital & facility affiliations
- Prov Sacred HRT Med Ctr & Childs Hosp.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA685 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Kootenai Health, Inc. | Past | Accepting new patients |
Locations
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
Interoperability endpoints
- shartzell2282308@wm.providencedirect.org
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
-
- General Practice Physician
- Spokane, WA
- NPI 1306391446
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1174661151
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1407049356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1387",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838351387",
"telephone_number": "208-415-0299",
"fax_number": "208-773-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 E POLSTON AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838549049",
"telephone_number": "208-618-0787",
"fax_number": "844-807-3782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZELL",
"first_name": "SARAH",
"middle_name": "O",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807829000",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "O'CONNOR",
"middle_name": "R",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.