Individual provider Active NPI

Sarah Louise Rollins, NP

  • Family Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1427503846
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
144536 Issued in MT
Practice address
900 N Orange St Ste 106
Missoula, MT 59802
Phone
(406) 327-3100
Fax
(406) 327-2141
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024173654 VA
Family Nurse Practitioner 363LF0000X 5043 MN
Family Nurse Practitioner 363LF0000X 144536 MT Primary

Addresses

Primary practice location

900 N Orange St Ste 106
Missoula, MT 59802

Mailing address

900 N Orange St Ste 106
Missoula, MT 59802-2951
Phone (406) 327-3100

Other practice location 1

1586 County Road 134
Saint Cloud, MN 56303-0346
Phone (320) 251-0726

Other practice location 2

5424 Discovery Park Boulevard
Bldg B Suite 204
Williamsburg, VA 23188
Phone (757) 707-3999

Other practice location 3

900 N Orange St Ste 106
Missoula, MT 59802
Phone (406) 327-3100

Other names 1

  • Sarah Louise Rollins Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srollins1068708@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160926000864 VA Practitioner - Nurse Practitioner 9830486414 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5043MNMDSpeech-Language Pathologist
0024173654VAMDNurse Practitioner
144536MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jul 24, 2016 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jul 24, 2016 Accepting new patients

Locations

860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952

860 Omni Blvd
Ste 113
Newport News, VA 23606
Phone (757) 327-0657

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 401
Newport News, VA 23606
Phone (757) 232-8764

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD
  • Direct secure messaging: srollins1068708@wm.providencedirect.org

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": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1427503846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N ORANGE ST STE 106",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022951",
            "telephone_number": "406-327-3100",
            "fax_number": "406-327-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N ORANGE ST STE 106",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59802",
            "telephone_number": "406-327-3100",
            "fax_number": "406-327-2141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1586 County Road 134",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563030346",
            "country_code": "US",
            "telephone_number": "320-251-0726",
            "fax_number": "320-229-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5424 Discovery Park Boulevard",
            "address_2": "Bldg B Suite 204",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "23188",
            "country_code": "US",
            "telephone_number": "757-707-3999",
            "fax_number": "757-707-3993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 N Orange St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "59802",
            "country_code": "US",
            "telephone_number": "406-327-3100",
            "fax_number": "406-327-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "SARAH",
        "middle_name": "LOUISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173654",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5043",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "144536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srollins1068708@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 N Orange St Ste 106",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "ROLLINS",
            "middle_name": "LOUISE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.