Active NPI
Sara McNeill, NPC
- Family Nurse Practitioner
- Duluth, MN
National Provider Identifier
1669751194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R 164322-0
- Practice address
- 4325 Grand Ave
Duluth, MN 55807-2730 - Phone
- (218) 722-1497
- Fax
- (218) 727-8346
- NPI assigned
- Aug 15, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R 164322-0 | MN | Primary |
Addresses
Primary practice location
4325 Grand Ave
Duluth, MN 55807-2730
Mailing address
4325 Grand Ave
Duluth, MN 55807-2730
Phone (218) 722-1497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Previously, effective Aug 17, 2016 through Aug 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 164322-0 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1669751194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 GRAND AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558072730",
"telephone_number": "218-722-1497",
"fax_number": "218-727-8346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 GRAND AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558072730",
"telephone_number": "218-722-1497",
"fax_number": "218-727-8346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEILL",
"first_name": "SARA",
"credential": "NPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-15",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R 164322-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.