Sara Dawn Mahony, PA-C
Individual provider Active NPI Physician Assistant · Saint Edward, NE
NPI 1477577336 · NPPES record last updated Oct 24, 2023
Key facts
- NPI
- 1477577336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 721 (NE)
- Practice address
- 1102 Water St
Saint Edward, NE 68660-4478 - Phone
- (402) 678-2232
- Fax
- (402) 678-2234
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Boone County Health Center
Practice addresses (Care Compare)
723 W Fairview St
Albion, NE 68620-1767
Phone (402) 395-2191
PO Box
Suite 151
Albion, NE 68620
PO Box
Suite 151
Albion, NE 68620-0151
Hospital & facility affiliations
- Boone County Health Center
- The Nebraska Medical Center
- Columbus Community Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.36 of 100
- Quality
- 90.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050418000789 | NE | Practitioner - Physician Assistant | 1052358769 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1440 | CO | MD | Marriage & Family Therapist |
| 721 | NE | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone County Health Center | Current |
Accepting new patients | |
| Boone County Health Center | Current |
Accepting new patients | |
| Boone County Health Center | Physician Assistant | Current |
Accepting new patients |
| Boone County Health Center | Past | Accepting new patients | |
| Mercy Medical Services | Past | Accepting new patients |
Locations
723 W Fairview St
Albion, NE 68620
Phone (402) 385-3149
1173 S 8th St
Albion, NE 68620
Phone (402) 395-5013
Interoperability endpoints
- smahony@countryclinics.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 721 | NE | Yes |
Addresses
Primary practice location
1102 Water St
Saint Edward, NE 68660-4478
Mailing address
PO Box F
Saint Edward, NE 68660-0167
Phone (402) 678-2232
Other providers in Saint Edward, NE
- Heritage of Fairbury-St Edward, Inc
- Robin Carrie Hoffmeister
- Megan Christina Holtgrewe
- Rebekah Ketelsen
- Dawn Labenz
- Marshall Pharmacy
- Randi Rae McQuistion
- St Edward Volunteer Fire & Rescue
- Joyce Anne Troyer
- Terry Lynn Troyer
All providers in Saint Edward, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.