Individual provider Active NPI

Sarah Michelle Berumen, MPAS, PA-C, RDMS

  • Physician Assistant
  • Tyler, TX
National Provider Identifier
1629617857
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19850 Issued in TX
Practice address
619 S Fleishel Ave Ste 203
Tyler, TX 75701-2067
Phone
(903) 606-1400
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19850 TX Primary
Physician Assistant 363A00000X PA-879 AR

Addresses

Primary practice location

619 S Fleishel Ave Ste 203
Tyler, TX 75701-2067

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 202-4900

Other practice location 1

9601 Baptist Health Dr
Little Rock, AR 72205-6321
Phone (501) 748-3202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200224002024 AR Practitioner - Physician Assistant 0042647497 Reassigns benefits to 2 organizations
I20260121001390 TX Practitioner - Physician Assistant 0042647497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

9500 Kanis Rd
Suite 330
Little Rock, AR 72205-6339
Phone (501) 202-4900

9601 Baptist Health Dr
Suite 700
Little Rock, AR 72205-6329
Phone (501) 219-1970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA19850TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Jul 5, 2023 Accepting new patients
Arkansas Health Group CurrentSince Jul 5, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 9, 2026 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 9, 2026 Accepting new patients
Trinity Clinic Past Accepting new patients

Locations

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

619 S Fleishel Ave
Ste 203
Tyler, TX 75701
Phone (903) 525-1400

Organizations & group practices 7

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.

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1629617857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "501-202-4900",
            "fax_number": "501-202-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S FLEISHEL AVE STE 203",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012067",
            "telephone_number": "903-606-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9601 Baptist Health Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056321",
            "country_code": "US",
            "telephone_number": "501-748-3202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERUMEN",
        "first_name": "SARAH",
        "middle_name": "MICHELLE",
        "credential": "MPAS, PA-C, RDMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19850",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.