Sara Rottman, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

156651 Issued in AK

Practice address

1400 W Benson Blvd Ste 315
Anchorage, AK 99503-3677

Phone

(907) 929-4009

Fax

(907) 929-4902

NPI assigned

Mar 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Greatland Mental Health LLCGroup PAC ID 4385794437, 12 clinicians

Practice addresses (Care Compare)

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.

• Greatland Mental Health, LLC

  • Psychiatry Physician
  • Anchorage, AK
  • NPI 1477743532
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1760017123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W BENSON BLVD STE 315",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033677",
            "telephone_number": "907-929-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W BENSON BLVD STE 315",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033677",
            "telephone_number": "907-929-4009",
            "fax_number": "907-929-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTMAN",
        "first_name": "SARA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "156651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth C Roth
• Kirsten E Rothacker, PHARMD
• Michelle Rothoff, M.D.
• Rachel Promise Rotola
• Amanda Rottman
• Marie Celene Rotzler
• Bridget Ann Roughneen
• Jean L Rounds-Riley, PA-C
• Cynthia A Rounds, ANP
• Janice B Rountree, SLPA

• Psychiatric/Mental Health Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.