Individual provider Active NPI

Sara Hafner, PA-C

  • Physician Assistant
  • Wellsboro, PA
National Provider Identifier
1578214771
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA063146 Issued in PA
Practice address
25 Walnut St
Wellsboro, PA 16901-1515
Phone
(570) 723-0103
NPI assigned
Jan 10, 2022
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 MA063146 PA Primary

Addresses

Primary practice location

25 Walnut St
Wellsboro, PA 16901-1515

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900
Phone (888) 647-9600

Other practice location 1

255 US Highway 220
Muncy, PA 17756-6561
Phone (800) 230-4565

Other practice location 2

100 N Academy Ave
Danville, PA 17822-6561
Phone (570) 271-6812

Other names 1

  • Sara Peters Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220411001379 PA Practitioner - Physician Assistant 2668868183 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Apr 18, 2022 Accepting new patients
Susquehanna Physician Services CurrentSince Dec 1, 2022 Accepting new patients
Susquehanna Physician Services Physician Assistant CurrentSince Dec 1, 2022 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Apr 18, 2022 Accepting new patients
Geisinger Clinic CurrentSince Apr 18, 2022 Accepting new patients
Geisinger Clinic CurrentSince Apr 18, 2022 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

25 Walnut St
Wellsboro, PA 16901
Phone (570) 723-0103

1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-2000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1578214771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900",
            "telephone_number": "888-647-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WALNUT ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011515",
            "telephone_number": "570-723-0103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 US Highway 220",
            "address_purpose": "LOCATION",
            "city": "Muncy",
            "state": "PA",
            "postal_code": "177566561",
            "country_code": "US",
            "telephone_number": "800-230-4565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178226561",
            "country_code": "US",
            "telephone_number": "570-271-6812",
            "fax_number": "570-271-6507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAFNER",
        "first_name": "SARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "PETERS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellsboro, PA

Sources for this page

Verify at the official NPI Registry.