Individual provider Active NPI

Sarah Peter, PA-C

  • Physician Assistant
  • Ballwin, MO
National Provider Identifier
1831699032
Registry record updated Jan 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
13861 Manchester Rd
Ballwin, MO 63011-4503
Phone
(314) 422-5568
NPI assigned
Feb 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2019

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 Primary

Addresses

Primary practice location

13861 Manchester Rd
Ballwin, MO 63011-4503

Mailing address

1800 S Brentwood Blvd Apt 317
Saint Louis, MO 63144-1838
Phone (618) 973-9686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180322001688 MO Practitioner - Physician Assistant 9436411899 Reassigns benefits to 1 organization
I20241213002635 IL Practitioner - Physician Assistant 9436411899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Saint Louis University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians
Tauc Il PCGroup PAC ID 3173060282, 17 clinicians

Practice addresses (Care Compare)

1005 S Big Bend Blvd
Saint Louis, MO 63117-1605
Phone (314) 961-2255

1103 Central Park Dr
O Fallon, IL 62269-1770
Phone (618) 215-5703

12616 Lamplighter Square Shopping
Saint Louis, MO 63128-2746
Phone (314) 961-2255

2501 Clarkson Rd
Chesterfield, MO 63017-7398
Phone (314) 961-2255

2980 Dougherty Ferry Rd
Saint Louis, MO 63122-3366
Phone (314) 961-2255

3114 S Grand Blvd
Saint Louis, MO 63118-1012
Phone (314) 961-2255

400 Beltline Rd
Collinsville, IL 62234-4405
Phone (618) 215-5703

4318 Loughborough Ave
Saint Louis, MO 63116-2104
Phone (314) 961-2255

6900 Chippewa St
Saint Louis, MO 63109-3038
Phone (314) 961-2255

7816 Big Bend Blvd
Webster Groves, MO 63119-2702
Phone (314) 961-2255

915 N Kirkwood Rd
Kirkwood, MO 63122-2665
Phone (314) 961-2255

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Merit-based Incentive Payment System (MIPS)

Final score
42.87 of 100Reported as group
Quality
31.86
Promoting interoperability
0
Improvement activities
40
Cost
61.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Access Urgent Care, PC CurrentSince Feb 21, 2018 Accepting new patients
Total Access Urgent Care, PC CurrentSince Feb 21, 2018 Accepting new patients

Locations

400 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703

1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333

Interoperability endpoints

  • Direct secure messaging: speter18404@directhoustonmethodist.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1831699032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S BRENTWOOD BLVD APT 317",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441838",
            "telephone_number": "618-973-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13861 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114503",
            "telephone_number": "314-422-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

Verify at the official NPI Registry.