Individual provider Active NPI

Sarah Pederson, PA-C

  • Physician Assistant
  • Searcy, AR
National Provider Identifier
1407313968
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
711 Santa Fe Dr
Searcy, AR 72143-6964
Phone
(501) 279-9393
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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 Primary

Addresses

Primary practice location

711 Santa Fe Dr
Searcy, AR 72143-6964

Mailing address

711 Santa Fe Dr
Searcy, AR 72143-6964
Phone (501) 279-9393

Other names 1

  • Sarah Walker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190319000388 AR Practitioner - Physician Assistant 6709126311 Reassigns benefits to 1 organization
I20211221002325 KS Practitioner - Physician Assistant 6709126311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8108

2840 SW Urish Rd
Topeka, KS 66614-5614
Phone (785) 228-2277

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center CurrentSince Feb 8, 2019 Accepting new patients
Topeka Physician Group, LLC CurrentSince Dec 1, 2021 Accepting new patients
White County Medical Center CurrentSince Feb 8, 2019 Accepting new patients

Locations

711 Santa Fe Dr
Searcy, AR 72143
Phone (501) 279-9393

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

600 SW College Ave
Topeka, KS 66606
Phone (785) 233-0292

Interoperability endpoints

  • Direct secure messaging: spederson471369@ahs.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1407313968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SANTA FE DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436964",
            "telephone_number": "501-279-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SANTA FE DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436964",
            "telephone_number": "501-279-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WALKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.