Active NPI
Sara Lee Maxey, CNP
- Family Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1049937
- Practice address
- 700 Olympic Plaza Cir Ste 420
Tyler, TX 75701-1952 - Phone
- (903) 531-8950
- Fax
- (903) 531-8964
- NPI assigned
- Aug 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1049937 | TX | Primary |
Addresses
Primary practice location
700 Olympic Plaza Cir Ste 420
Tyler, TX 75701-1952
Mailing address
700 Olympic Plaza Cir Ste 420
Tyler, TX 75701-1952
Phone (903) 531-8950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18118 FM 344
Flint, TX 75762-6010
Phone (903) 825-3292
2114 E Rusk St
Jacksonville, TX 75766-9052
Phone (903) 531-8950
2116 E Rusk St
Jacksonville, TX 75766-9052
Phone (903) 592-6901
700 Olympic Plaza Cir
Tyler, TX 75701-1952
Hospital & facility affiliations
- Ut Health East Texas Tyler Regional Hospital
- Ut Health East Texas Jacksonville Hospital
- University of Texas Health Science Center at Tyler
- Christus Mother Frances Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1049937 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Starks Medical | Past | Accepting new patients |
Locations
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
700 Olympic Plaza Cir
Ste 420
Tyler, TX 75701
Phone (903) 526-2500
700 Olympic Plaza Cir
Ste 410
Tyler, TX 75701
Phone (903) 531-8950
Interoperability endpoints
- smaxey836563@ahs.direct-ci.com
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- Primary Care Nurse Practitioner
- Bullard, TX
- NPI 1306570593
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, TX
- NPI 1730697350
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1417941295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1497473243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 OLYMPIC PLAZA CIR STE 420",
"city": "TYLER",
"state": "TX",
"postal_code": "757011952",
"telephone_number": "903-531-8950",
"fax_number": "903-531-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 OLYMPIC PLAZA CIR STE 420",
"city": "TYLER",
"state": "TX",
"postal_code": "757011952",
"telephone_number": "903-531-8950",
"fax_number": "903-531-8964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXEY",
"first_name": "SARA",
"middle_name": "LEE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1049937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.