Individual provider Active NPI

Sara A Hildreth, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1629388079
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01433 Issued in KS
Practice address
9415 E Harry St Ste 202
Wichita, KS 67207-5076
Phone
(316) 691-0309
Fax
(316) 691-0881
NPI assigned
Oct 19, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 15-01433 KS Primary

Addresses

Primary practice location

9415 E Harry St Ste 202
Wichita, KS 67207-5076

Mailing address

PO Box 8035
Wichita, KS 67208-0035
Phone (316) 689-9135

Other practice location 1

1947 N Founders Cir
Wichita, KS 67206-3548
Phone (316) 613-4680

Other identifiers 3

IdentifierTypeStateIssuer
200688210BMedicaidKS
003719269OtherMEDICARE
P01213883OtherRR MEDICARE

Other names 1

  • Sara A Albers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20110610000681 KS Practitioner - Physician Assistant 8527245976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 Country Club Rd
Pratt, KS 67124-3125
Phone (620) 672-7415

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Regional Medical Center Corporation CurrentSince Nov 1, 2025 Accepting new patients
Pratt Regional Medical Center Corporation CurrentSince Nov 1, 2025 Accepting new patients

Locations

200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476

420 Country Club Rd
Pratt, KS 67124
Phone (620) 672-7415

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629388079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8035",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672080035",
            "telephone_number": "316-689-9135",
            "fax_number": "316-689-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 E HARRY ST STE 202",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075076",
            "telephone_number": "316-691-0309",
            "fax_number": "316-691-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1947 N Founders Cir",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672063548",
            "country_code": "US",
            "telephone_number": "316-613-4680",
            "fax_number": "316-613-4906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "SARA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200688210B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "003719269",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01213883",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "ALBERS",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.