Individual provider Active NPI

Sarah Pettepier, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1942777008
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2287 Issued in NE
Practice address
7441 O St Ste 400
Lincoln, NE 68510-2497
Phone
(402) 488-7400
Fax
(402) 488-0739
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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 2287 NE Primary

Addresses

Primary practice location

7441 O St Ste 400
Lincoln, NE 68510-2497

Mailing address

7441 O St Ste 400
Lincoln, NE 68510-2497
Phone (402) 488-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20190718001625 NE Practitioner - Physician Assistant 3779818323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7261 Mercy Rd
Omaha, NE 68124-2311

7441 O St
Suite 400
Lincoln, NE 68510-2497

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2287NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology & Osteoporosis Services, P.C. PastSince Sep 12, 2022 Accepting new patients

Organizations & group practices 2

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": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1942777008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 O ST STE 400",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102497",
            "telephone_number": "402-488-7400",
            "fax_number": "402-488-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 O ST STE 400",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102497",
            "telephone_number": "402-488-7400",
            "fax_number": "402-488-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTEPIER",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.