Sara L. Shainholtz

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0001720 Issued in CO

Practice address

501 Airport Rd
Rifle, CO 81650-8510

Phone

(970) 625-1510

NPI assigned

Jan 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Sara L. Shainholtz Professional name

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley View Hospital AssociationGroup PAC ID 1850294778, shared by 23 NPIs, 205 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Aspen Valley Hospital District

  • Critical Access Hospital
  • Aspen, CO
  • NPI 1518960814
  Medicare reassignment NPD
• Valley View Hospital Association

  • Emergency Care Clinic/Center
  • Glenwood Springs, CO
  • NPI 1114654795
  Medicare reassignment NPD
• Valley View Hospital Association

  • Urgent Care Clinic/Center
  • Glenwood Springs, CO
  • NPI 1790397008
  Medicare reassignment NPD
• Grand River Hospital District

  • Rural Health Clinic/Center
  • Rifle, CO
  • NPI 1124074042
  Medicare reassignment NPD (past)
• Grand River Hospital District

  • Critical Access Hospital
  • Rifle, CO
  • NPI 1649218991
  Medicare reassignment
• Aspen Valley Hospital District

  • Durable Medical Equipment & Medical Supplies
  • Aspen, CO
  • NPI 1942357363
  NPD
• Cardinal Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Glenwood Springs, CO
  • NPI 1356899421
  NPD
• Grand River Hospital District

  • Health Educator
  • Rifle, CO
  • NPI 1194365544
  NPD
• Grand River Hospital District

  • Critical Access Hospital Clinic/Center
  • Rifle, CO
  • NPI 1225296049
  NPD
• Pathology Assoc of the Roaring Fork

  • Anatomic Pathology & Clinical Pathology Physician
  • Glenwood SPGS, CO
  • NPI 1386624203
  NPD
• Valley View Hospital Association

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Carbondale, CO
  • NPI 1457235202
  NPD
• Valley View Hospital Association

  • Surgery Physician
  • Glenwood SPGS, CO
  • NPI 1518353218
  NPD

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629056031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173862",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173862",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510",
            "telephone_number": "970-625-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAINHOLTZ",
        "first_name": "SARA",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0001720",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1720",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00445249",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66405742",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "SHAINHOLTZ",
            "middle_name": "L.",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lawrence F Schneider, MD
• Gary Blaine Schreiner, PHD, LMFT
• Denise Louise Schroeder, RDH
• Kelsey Rae Schultz
• Andrew Thomas Sever, PA
• Marisa Skajewski
• Matthew Skwiot, MD
• Susan J Smith, RD CDE
• Tod W. Smith, O.D.
• Candi Renae Spear, NP

• Physician Assistant in Rifle, CO
• Providers in Rifle, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.