NPIMap

Individual provider Active NPI

Sarah Lybarger, PA-C

  • Physician Assistant
  • Northfield, MN
National Provider Identifier
1790192300
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2000 North Ave
Northfield, MN 55057-1498
Phone
(507) 646-1039
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 11659 MN
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2000 North Ave
Northfield, MN 55057-1498

Mailing address

2000 North Ave
Northfield, MN 55057-1697
Phone (507) 646-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141110002354 MN Practitioner - Physician Assistant 3678795523 Reassigns benefits to 1 organization

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
Northfield HospitalGroup PAC ID 2567372998, 121 clinicians

Practice addresses (Care Compare)

2014 Jefferson Rd
Suite C
Northfield, MN 55057-3251
Phone (507) 646-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11659MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Northfield Hospital CurrentSince Oct 1, 2025 Accepting new patients

Locations

9974 214th St W
Lakeville, MN 55044
Phone (952) 469-0500

2014 Jefferson Rd
Ste C
Northfield, MN 55057
Phone (507) 646-6700

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

2014 Jefferson Rd
Ste Cd
Northfield, MN 55057
Phone (507) 646-6700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1790192300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NORTH AVE",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571697",
            "telephone_number": "507-646-1000",
            "fax_number": "952-857-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NORTH AVE",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571498",
            "telephone_number": "507-646-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBARGER",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "11659",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

Verify at the official NPI Registry.