Individual provider Active NPI

Sarah Dynes

  • Physician Assistant
  • Hermiston, OR
National Provider Identifier
1730668161
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA190340 Issued in OR
Practice address
589 NW 11TH St
Hermiston, OR 97838-6600
Phone
(541) 567-1717
Fax
(541) 564-5170
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 PA190340 OR Primary

Addresses

Primary practice location

589 NW 11TH St
Hermiston, OR 97838-6600

Mailing address

589 NW 11TH St
Hermiston, OR 97838-6600
Phone (541) 567-1717

Other names 1

  • Sarah Newman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address snewman25202@yvfwc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20211210001150 IL Practitioner - Physician Assistant 1052658374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • St Mary Medical Center Hospital, Galesburg, IL, CCN 140064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA190340ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hammond Henry Dist Hospital CurrentSince Dec 1, 2021 Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 13, 2023 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Dec 1, 2021 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients

Locations

2779 Volunteer Dr
Ste 201
Galesburg, IL 61401
Phone (309) 345-9400

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

1258 W South St
Ste 2
Kewanee, IL 61443

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Interoperability endpoints

  • Direct secure messaging: snewman25202@yvfwc.direct-ci.com

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 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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1730668161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 NW 11TH ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386600",
            "telephone_number": "541-567-1717",
            "fax_number": "541-564-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 NW 11TH ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386600",
            "telephone_number": "541-567-1717",
            "fax_number": "541-564-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYNES",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA190340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snewman25202@yvfwc.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "YVFWC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "589 NW 11th St",
            "city": "Hermiston",
            "state": "OR",
            "country_code": "US",
            "postal_code": "978386600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "NEWMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.