Individual provider Active NPI

Sarah Rachel Berger, PA-C

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1417108853
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0009139 Issued in CO
Practice address
13492 Bass Pro Dr Ste 100
Colorado Springs, CO 80921-3852
Phone
(719) 355-1585
Fax
(719) 623-2983
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 60064006 WA
Physician Assistant 363A00000X PA.0009139 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA1544 NV

Addresses

Primary practice location

13492 Bass Pro Dr Ste 100
Colorado Springs, CO 80921-3852

Mailing address

12320 Oracle Blvd Ste 350
Colorado Springs, CO 80921-2291
Phone (719) 355-1585

Other practice location 1

109 Latigo Ln Ste F
Canon City, CO 81212-8113
Phone (719) 355-1585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20251114001921 CO Practitioner - Physician Assistant 6406912104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13492 Bass Pro Dr
Suite 100
Colorado Springs, CO 80921-3852
Phone (719) 355-1585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0009139COMDPhysician Assistant
PA1544NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Medical Specialists, LLC Dermatology CurrentSince Oct 28, 2025 Accepting new patients
Vanguard Medical Specialists LLC Dermatology CurrentSince Oct 28, 2025 Accepting new patients

Locations

109 Latigo Ln
Ste F
Canon City, CO 81212

1175 S Perry St
Ste 220
Castle Rock, CO 80104
Phone (303) 688-5025

13492 Bass Pro Dr
Ste 100
Colorado Springs, CO 80921

9348 Grand Cordera Pkwy
Ste 160
Colorado Springs, CO 80924

2620 Tenderfoot Hill St
Ste 110
Colorado Springs, CO 80906

6215 Corporate Dr
Ste 101
Colorado Springs, CO 80919

5700 N Elizabeth St
Pueblo, CO 81008
Phone (719) 543-1111

41 State Highway 67
Unit B
Woodland Park, CO 80863

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1417108853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 ORACLE BLVD STE 350",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212291",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13492 BASS PRO DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213852",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Latigo Ln Ste F",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812128113",
            "country_code": "US",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "SARAH",
        "middle_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA 60064006",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009139",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.