Individual provider Active NPI

Sarah Agnes Eck Waltke, PA-C

  • Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1659758134
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2015012056 Issued in MO
Practice address
701 S New Ballas Rd Ste 510
Saint Louis, MO 63141-8726
Phone
(314) 251-6710
Fax
(314) 251-6712
NPI assigned
May 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 2015012056 MO Primary

Addresses

Primary practice location

701 S New Ballas Rd Ste 510
Saint Louis, MO 63141-8726

Mailing address

701 S New Ballas Rd Ste 510
Saint Louis, MO 63141-8726
Phone (314) 251-6710

Other practice location 1

10777 Sunset Office Dr Ste 120
Saint Louis, MO 63127-1019
Phone (314) 251-6710

Other identifiers 2

IdentifierTypeStateIssuer
220024387MedicaidMO
2015012056OtherMOPA LICENSE

Other names 1

  • Sarah Agnes Eck Tipton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20150527000727 MO Practitioner - Physician Assistant 0840510236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Surgical Specialists LLCGroup PAC ID 1153455076, 180 clinicians

Practice addresses (Care Compare)

701 S New Ballas Rd
Suite 510
Saint Louis, MO 63141-8701
Phone (314) 251-6710

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015012056MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Surgical Specialists, LLC CurrentSince Feb 1, 2026 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jan 18, 2017 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jan 18, 2017 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070

701 S New Ballas Rd
Ste 510
Saint Louis, MO 63141
Phone (314) 251-6710

10777 Sunset Office Dr
Ste 120
Saint Louis, MO 63127
Phone (314) 251-6710

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

Interoperability endpoints

  • Direct secure messaging: stipton18126@directc.mercy.net

Organizations & group practices 6

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 3

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": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1659758134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S NEW BALLAS RD STE 510",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418726",
            "telephone_number": "314-251-6710",
            "fax_number": "314-251-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S NEW BALLAS RD STE 510",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418726",
            "telephone_number": "314-251-6710",
            "fax_number": "314-251-6712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10777 Sunset Office Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271019",
            "country_code": "US",
            "telephone_number": "314-251-6710",
            "fax_number": "314-251-6712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTKE",
        "first_name": "SARAH",
        "middle_name": "AGNES ECK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2015012056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220024387",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "2015012056",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "TIPTON",
            "middle_name": "AGNES ECK",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.