Individual provider Active NPI

Sarah Grohmann, AGNP-C

  • Nurse Practitioner
  • Lake Havasu City, AZ
National Provider Identifier
1437511896
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP8316 Issued in AZ
Practice address
2010 Injo Dr
Lake Havasu City, AZ 86403-5707
Phone
(928) 216-3160
Fax
(623) 227-2000
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X AP316 AZ
Nurse Practitioner 363L00000X TAP83316 AZ
Nurse Practitioner 363L00000X AP8316 AZ Primary

Addresses

Primary practice location

2010 Injo Dr
Lake Havasu City, AZ 86403-5707

Mailing address

1830 Mesquite Ave Ste B
Lake Havasu City, AZ 86403-5885
Phone (928) 453-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160531001953 AZ Practitioner - Nurse Practitioner 7618135062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serve MD LLCGroup PAC ID 6204375538, 3 clinicians

Practice addresses (Care Compare)

7900 E Florentine Rd
Prescott Valley, AZ 86314-2218
Phone (480) 550-9096

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP316AZMDNeurology Physician
AP8316AZMDNurse Practitioner
TAP83316AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Neurology Associates PLLC Neurology CurrentSince Aug 23, 2021 Accepting new patients
Serve MD LLC CurrentSince Aug 15, 2024 Accepting new patients

Locations

11851 N 51st Ave
Ste E130
Glendale, AZ 85304
Phone (623) 253-9814

2010 Injo Dr
Lk Havasu Cty, AZ 86403
Phone (623) 227-1000

2286 Crosswind Dr
Ste C
Prescott, AZ 86301
Phone (623) 227-1000

7900 E Florentine Rd
Prescott Vly, AZ 86314
Phone (480) 550-9096

10474 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351
Phone (623) 219-4475

10474 W Thunderbird Blvd
Ste 201
Sun City, AZ 85351
Phone (623) 377-7410

14418 W Meeker Blvd
Ste 110
Sun City West, AZ 85375
Phone (623) 377-7410

13949 W Meeker Blvd
Ste C
Sun City West, AZ 85375
Phone (623) 975-1660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EECFDD

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.

Hospital & facility affiliations 4

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1437511896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 MESQUITE AVE STE B",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035885",
            "telephone_number": "928-453-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 INJO DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035707",
            "telephone_number": "928-216-3160",
            "fax_number": "623-227-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROHMANN",
        "first_name": "SARAH",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "AP316",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "TAP83316",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.