Sara Jerene Champoux McDonald

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP61141574 Issued in WA

Practice address

208 N Euclid Rd
Grandview, WA 98930-9470

Phone

(509) 882-1855

NPI assigned

Feb 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Jerene Champoux Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunnyside Community Hospital AssociationGroup PAC ID 1658280896, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Sunnyside Community Hospital Association

  dba Astria Sunnyside Hospital

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814
  Medicare reassignment Care Compare group NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1679521637
  Medicare reassignment
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1407289184
  NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Clinic/Center
  • Yakima, WA
  • NPI 1609395060
  NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Toppenish, WA
  • NPI 1699215384
  NPD

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

• Sunnyside Community Hospital Association

  dba Astria Sunnyside Hospital

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814
  Care Compare affiliation

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1639761133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N EUCLID RD",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989309470",
            "telephone_number": "509-882-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "SARA",
        "middle_name": "JERENE CHAMPOUX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP61141574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "CHAMPOUX",
            "middle_name": "JERENE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Liliana Marquez
• Crystal Nora Martinez
• Virginia Martinez
• Herman Marx
• Monica Matheny, RN
• Lindsay M McKie, PHARMD
• Erma Lus Medina, LCSW
• Ruby Medina, MSW
• Maria Carmen Mejia
• Marisol Meza, L.M.P.

• Gerontology Nurse Practitioner in Grandview, WA
• Providers in Grandview, WA by specialty
• Gerontology Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.