Sara Gautier, PMHNP-BC APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Hancock, MD
NPI 1932912995 · NPPES record last updated Jul 3, 2025
Key facts
- NPI
- 1932912995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 122010 (WV)
- Practice address
- 115 W Main St
Hancock, MD 21750-1416 - Phone
- (240) 738-0953
- Fax
- (240) 343-9095
- NPI assigned
- Jan 31, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5879 Tolo Rd
Central Point, OR 97502-7310
PO Box
Suite 122
Hancock, MD 21750
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251224001567 | MD | Practitioner - Nurse Practitioner | 4789179938 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC007514 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024192736 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 122010 | WV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embrace Connection | Psychiatric/Mental Health | Current | Accepting new patients |
| Mountain View Psychiatry LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Mountain View Wellness, LLC | Past |
Accepting new patients |
Locations
115 W Main St
Hancock, MD 21750
Phone (240) 343-8134
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC007514 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 122010 | WV | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024192736 | VA |
Addresses
Primary practice location
115 W Main St
Hancock, MD 21750-1416
Mailing address
PO Box 86
Unionville, VA 22567-0086
Phone (571) 207-6829
Other providers in Hancock, MD
- Chesapeake Eye Care & Laser Center LLC
- Chesapeake Eye Care & Laser Center LLC
- Chesapeake Eye Care & Laser Center LLC
- James H Dolly
- Zachary Edwards
- Hahn and Nelson Family Medicine PC
- Matthew Abner Hahn
- Hancock Rescue Squad Incorporated
- Brittany Harding
- Harmony Chirorapctic, LLC
All providers in Hancock, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.