Individual provider Active NPI

Sarah C Minarick, PA

  • Medical Physician Assistant
  • Lincoln, NE
National Provider Identifier
1689849754
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1362 Issued in NE
Practice address
7100 Stephanie Lane
Ste #100
Lincoln, NE 68516-5332
Phone
(402) 484-9009
Fax
(402) 483-4223
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1362 NE Primary

Addresses

Primary practice location

7100 Stephanie Lane
Ste #100
Lincoln, NE 68516-5332

Mailing address

PO Box 6068
Lincoln, NE 68506-0068
Phone (402) 484-9009

Other identifiers 1

IdentifierTypeStateIssuer
47065843713MedicaidNE

Other names 1

  • Sarah C Heacock Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20150407002405 NE Practitioner - Physician Assistant 1850436668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutton Skin and Eye Clinic PCGroup PAC ID 8123022498, 12 clinicians

Practice addresses (Care Compare)

7100 Stephanie LN
Suite 100
Lincoln, NE 68516-5332
Phone (402) 484-9009

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

Merit-based Incentive Payment System (MIPS)

Final score
93.49 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1362NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgical Associates, LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689849754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6068",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060068",
            "telephone_number": "402-484-9009",
            "fax_number": "402-483-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 STEPHANIE LANE",
            "address_2": "STE #100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165332",
            "telephone_number": "402-484-9009",
            "fax_number": "402-483-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINARICK",
        "first_name": "SARAH",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065843713",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HEACOCK",
            "middle_name": "C",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.