Active NPI
Sadie Knight Wannamaker, PA-C
- Physician Assistant
- Stoneham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-12307
- Practice address
- 92 Montvale Ave Ste 1400
Stoneham, MA 02180-3629 - Phone
- (781) 279-7040
- Fax
- (781) 279-8430
- NPI assigned
- Jun 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-12307 | NC | Primary |
Addresses
Primary practice location
92 Montvale Ave Ste 1400
Stoneham, MA 02180-3629
Mailing address
509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1994
Other practice location 1
405 Pearl St
Malden, MA 02148-6644
Phone (781) 279-7040
Other practice location 2
362 Belmont St
Brockton, MA 02301-4950
Phone (781) 279-7040
Other practice location 3
509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1994
Other practice location 4
44 Bearfoot Rd Ste 3125
Northborough, MA 01532-1559
Phone (781) 279-7040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Wake Forest University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
92 Montvale Ave
Suite 1400
Stoneham, MA 02180-3629
Phone (781) 279-7040
Hospital & facility affiliations
- Melrosewakefield Healthcare
- Winchester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.39 of 100
- Quality
- 77.7
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-12307 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients | |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- swannamaker106470@tuftsmedicine.direct-ci.com
Organizations & group practices 4
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.
-
- Specialist
- Stoneham, MA
- NPI 1689728669
-
- Anesthesiology Physician
- Asheville, NC
- NPI 1457719130
-
- Certified Respiratory Therapist
- Asheville, NC
- NPI 1528538766
-
- Ph.D. Medical Genetics
- Asheville, NC
- NPI 1568932879
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1891424024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 BILTMORE AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014601",
"telephone_number": "828-213-1994",
"fax_number": "828-213-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 MONTVALE AVE STE 1400",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021803629",
"telephone_number": "781-279-7040",
"fax_number": "781-279-8430"
}
],
"practiceLocations": [
{
"address_1": "405 Pearl St",
"address_purpose": "LOCATION",
"city": "Malden",
"state": "MA",
"postal_code": "021486644",
"country_code": "US",
"telephone_number": "781-279-7040",
"fax_number": "781-279-8430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "362 Belmont St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023014950",
"country_code": "US",
"telephone_number": "781-279-7040",
"fax_number": "781-279-8430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "509 Biltmore Ave",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288014601",
"country_code": "US",
"telephone_number": "828-213-1994",
"fax_number": "828-213-1992",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44 Bearfoot Rd Ste 3125",
"address_purpose": "LOCATION",
"city": "Northborough",
"state": "MA",
"postal_code": "015321559",
"country_code": "US",
"telephone_number": "781-279-7040",
"fax_number": "781-279-8430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANNAMAKER",
"first_name": "SADIE",
"middle_name": "KNIGHT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-04",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-12307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.