Individual provider Active NPI

Sara Sanson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Summersville, WV
National Provider Identifier
1437540374
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN75972NP Issued in WV
Practice address
415 Main St
Summersville, WV 26651-1343
Phone
(304) 226-5725
Fax
(304) 226-3274
NPI assigned
Feb 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN75972NP WV Primary

Addresses

Primary practice location

415 Main St
Summersville, WV 26651-1343

Mailing address

10003 Webster Rd
Camden on Gauley, WV 26208-7713
Phone (304) 226-5725

Other identifiers 2

IdentifierTypeStateIssuer
2014023940OtherWVCERTIFICATION NUMBER-ANCC
APRN75972NPOtherWVAPRN LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20150407000907 WV Practitioner - Nurse Practitioner 2769700558 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN75972NPWVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camden on Gauley Medical Center Inc. Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Mar 14, 2024 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Dec 1, 2018 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Jul 1, 2023 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Jul 1, 2023 Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center, Inc CurrentSince Mar 23, 2024 Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Apr 16, 2018 Accepting new patients
Camden on Gauley Medical Center, Inc. Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center, Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Jul 1, 2023 Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients

Locations

101 Florence St
Ansted, WV 25812
Phone (304) 658-5100

10003 Webster Rd
Camden on Gly, WV 26208
Phone (304) 266-5725

56 Park St
Cowen, WV 26206
Phone (304) 226-5275

16414 Webster Rd
Craigsville, WV 26205
Phone (304) 742-3004

46 Red Oak Dr
Craigsville, WV 26205
Phone (304) 742-5737

100 School St
Craigsville, WV 26205
Phone (304) 742-1061

110 Panther Creek Elementary Rd
Nettie, WV 26681
Phone (304) 742-1061

16 W Main St
Richwood, WV 26261
Phone (304) 846-0207

190 Riverside Dr
Rm 2109
Richwood, WV 26261
Phone (304) 846-2588

190 Riverside Dr
Richwood, WV 26261
Phone (304) 846-2588

71 Avenue A
Richwood, WV 26261
Phone (304) 846-2608

415 Main St
Summersville, WV 26651
Phone (304) 872-1663

70 Grade School Ln
Summersville, WV 26651
Phone 3042265725118

1 Highlander Dr
Upperglade, WV 26266
Phone (304) 226-3993

300 Minuteman Dr
Weston, WV 26452
Phone (304) 997-8701

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1437540374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10003 WEBSTER RD",
            "city": "CAMDEN ON GAULEY",
            "state": "WV",
            "postal_code": "262087713",
            "telephone_number": "304-226-5725",
            "fax_number": "304-226-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511343",
            "telephone_number": "304-226-5725",
            "fax_number": "304-226-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSON",
        "first_name": "SARA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "APRN75972NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER-ANCC",
            "identifier": "2014023940",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE NUMBER",
            "identifier": "APRN75972NP",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.