Individual provider Active NPI

Sarah M Peterson, D.C

  • Chiropractor
  • Wayne, NE
National Provider Identifier
1922543206
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1923 Issued in NE
Practice address
1302 W 7TH St
Wayne, NE 68787-1692
Phone
(402) 375-3450
Fax
(402) 375-3450
NPI assigned
Dec 22, 2016
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1923 NE Primary

Addresses

Primary practice location

1302 W 7TH St
Wayne, NE 68787-1692

Mailing address

1302 W 7TH St
Wayne, NE 68787-1692
Phone (402) 375-3450

Other names 1

  • Sarah M Jans Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170118001786 NE Practitioner - Chiropractic 0547542078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acu-Plus Chiropractic L L CGroup PAC ID 4082045919, 2 clinicians

Practice addresses (Care Compare)

920 W 21St St
Suite 104
South Sioux City, NE 68776-2653
Phone (402) 412-7587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1923NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Acu-Plus Chiropractic LLC Chiropractor CurrentSince Jan 20, 2020 Accepting new patients

Locations

920 W 21st St
Ste 104
South Sioux City, NE 68776
Phone (402) 412-7587

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1922543206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 W 7TH ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871692",
            "telephone_number": "402-375-3450",
            "fax_number": "402-375-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 W 7TH ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871692",
            "telephone_number": "402-375-3450",
            "fax_number": "402-375-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SARAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "JANS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wayne, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.