Individual provider Active NPI

Sarah Leigh Koetter

  • Acute Care Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1922654656
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP141016 Issued in TX
Practice address
1600 11TH St
Wichita Falls, TX 76301-4300
Phone
(940) 764-7000
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP141016 TX Primary

Addresses

Primary practice location

1600 11TH St
Wichita Falls, TX 76301-4300

Mailing address

1432 Hoff Rd
Windthorst, TX 76389-3100
Phone (940) 237-2820

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20191029000814 TX Practitioner - Nurse Practitioner 5496087215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospice of Wichita Falls, Inc.Group PAC ID 2264450428, 5 clinicians
Micah Boyer MDGroup PAC ID 8426482159, 15 clinicians

Practice addresses (Care Compare)

4909 Johnson Rd
Wichita Falls, TX 76310-2547
Phone (940) 691-0982

500 N Scott Ave
Wichita Falls, TX 76306-6760
Phone (940) 397-5431

Hospital & facility affiliations

  • United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Micah Boyer MD CurrentSince Sep 19, 2023 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Hospice of Wichita Falls, Inc. CurrentSince Sep 1, 2022 Accepting new patients

Locations

5020 Wilbarger St
Vernon, TX 76384
Phone (940) 691-0982

4327 Barnett Rd
Wichita Falls, TX 76310
Phone (940) 761-2922

4909 Johnson Rd
Wichita Falls, TX 76310
Phone (940) 691-0982

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

1921 9th St
Wichita Falls, TX 76301
Phone (940) 322-8475

500 N Scott Ave
Wichita Falls, TX 76306
Phone (940) 228-1879

3901 Armory Rd
Wichita Falls, TX 76302
Phone (940) 397-5431

500 Scott Ave
Wichita Falls, TX 76301

Interoperability endpoints

  • Direct secure messaging: skoetter14095@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1922654656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 HOFF RD",
            "city": "WINDTHORST",
            "state": "TX",
            "postal_code": "763893100",
            "telephone_number": "940-237-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 11TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014300",
            "telephone_number": "940-764-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOETTER",
        "first_name": "SARAH",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP141016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.