Active NPI
Sarah J Leet, P.A.
- Physician Assistant
- Sisters, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA215926
- Practice address
- 535 North Reed St
Sisters, OR 97759 - Phone
- (541) 383-3005
- Fax
- (541) 383-1883
- NPI assigned
- Mar 5, 2007
- Last updated
- Aug 9, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA215926 | OR | Primary |
| Medical Physician Assistant | 363AM0700X | PA10003942 | WA |
Addresses
Primary practice location
535 North Reed St
Sisters, OR 97759
Mailing address
600 SW Columbia St Ste 6210
Bend, OR 97702-1099
Phone (541) 383-3005
Other practice location 1
13451 SE 36th St
Bellevue, WA 98006-1475
Phone (425) 562-1337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8359432 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10003942 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Community Health | Current | Accepting new patients |
Locations
600 SW Columbia St
Ste 6210
Bend, OR 97702
375 NW Beaver St
Ste 101
Prineville, OR 97754
Phone (541) 316-6026
535 N Reed St
Sisters, OR 97759
Phone (541) 526-6623
13451 SE 36th St
Bellevue, WA 98006
Phone (425) 562-1316
Interoperability endpoints
- sleet32121@ghc.direct-ci.net
- sleet651387@direct.ochin.org
Organizations & group practices 1
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.
-
dba Mosaic Medical
- Federally Qualified Health Center (FQHC)
- Prineville, OR
- NPI 1083633184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1639208580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SW COLUMBIA ST STE 6210",
"city": "BEND",
"state": "OR",
"postal_code": "977021099",
"telephone_number": "541-383-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 NORTH REED ST",
"city": "SISTERS",
"state": "OR",
"postal_code": "97759",
"telephone_number": "541-383-3005",
"fax_number": "541-383-1883"
}
],
"practiceLocations": [
{
"address_1": "13451 SE 36th St",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980061475",
"country_code": "US",
"telephone_number": "425-562-1337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEET",
"first_name": "SARAH",
"middle_name": "J",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2023-08-09",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA215926",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA10003942",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8359432",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "13451 SE 36th St",
"city": "Bellevue",
"state": "WA",
"country_code": "US",
"postal_code": "980061475",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sisters, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.