Individual provider Active NPI

Sarah E Neumann, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1487781092
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2590 Issued in AZ
Practice address
4425 E Agave Rd
148
Phoenix, AZ 85044-0619
Phone
(480) 785-7546
Fax
(480) 704-7549
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2590 AZ Primary

Addresses

Primary practice location

4425 E Agave Rd
148
Phoenix, AZ 85044-0619

Mailing address

783 W Bluebird Dr
Chandler, AZ 85248-2611
Phone (480) 516-7115

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
I20070731000401 AZ Practitioner - Physician Assistant 9133220411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zynergy Skin and Med Spa LLCGroup PAC ID 4981047198, 2 clinicians

Practice addresses (Care Compare)

1910 S Stapley Dr
Suite 127
Mesa, AZ 85204-6676
Phone (480) 914-3376

Merit-based Incentive Payment System (MIPS)

Final score
93.76 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2590AZMDOccupational Therapist

Organizations & group practices 1

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1487781092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 W BLUEBIRD DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852482611",
            "telephone_number": "480-516-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 E AGAVE RD",
            "address_2": "148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440619",
            "telephone_number": "480-785-7546",
            "fax_number": "480-704-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMANN",
        "first_name": "SARAH",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.