Sara Wilson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP-1568A Issued in ID

Practice address

1074 W Main St
Middleton, ID 83644-5270

Phone

(208) 989-9909

Fax

(208) 266-9234

NPI assigned

Jun 18, 2015

Last updated

Mar 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sara.wilson.1@31242.direct.athenahealth.com
• Direct secure messaging: sara.wilson@hca3.eclinicaldirectplus.com

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.

• Mountain West Spine LLC

  • Orthopaedic Surgery of the Spine Physician
  • Meridian, ID
  • NPI 1982462008
  Medicare reassignment NPD
• Southern Idaho Health Partners LLC

  dba Saltzer Clinics

  • General Practice Physician
  • Meridian, ID
  • NPI 1952701401
  NPD
• OB-GYN Associates, PA

  • Obstetrics & Gynecology Physician
  • Meridian, ID
  • NPI 1306816079
  NPD (past)

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1417338104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 W MAIN ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445270",
            "telephone_number": "208-989-9909",
            "fax_number": "208-266-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 W MAIN ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445270",
            "telephone_number": "208-989-9909",
            "fax_number": "208-266-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-1568A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SARA.WILSON@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1906 Fairview Ave Ste 230",
            "city": "Caldwell",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836055432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chad Michael Von Ins, BA
• Amber Wang, IS
• Lindsey C Warner, OD
• Wellness Peptides
• West Valley Medical Center Inc
• Daylene A Woodruff, MS CCC-SLP
• Kelsey Lauren Zacapu, LMSW, ADC
• Chris Zuccato, DC

• Nurse Practitioner in Middleton, ID
• Providers in Middleton, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.