Individual provider Active NPI

Sarah Elizabeth Rebey, PA

  • Physician Assistant
  • West Fargo, ND
National Provider Identifier
1952910077
Registry record updated Apr 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAC1067 Issued in ND
Practice address
350 23Rd Ave E Ste 102
West Fargo, ND 58078-7402
Phone
(701) 356-7444
NPI assigned
Jul 24, 2020
Last updated
Apr 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAC1067 ND Primary
Physician Assistant 363A00000X 8101 AZ
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

350 23Rd Ave E Ste 102
West Fargo, ND 58078-7402

Mailing address

350 23Rd Ave E Ste 102
West Fargo, ND 58078-7402
Phone (701) 356-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201102000107 AZ Practitioner - Physician Assistant 2567872690 Reassigns benefits to 1 organization
I20240614000848 ND Practitioner - Physician Assistant 2567872690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Indiana University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Neurosurgery and Spine PLCGroup PAC ID 4082040076, 4 clinicians

Practice addresses (Care Compare)

350 23Rd Ave E
Suite 102
West Fargo, ND 58078-7402
Phone (701) 356-7444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8101AZMDPhysician Assistant
PAC1067NDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Arizona CurrentSince Oct 22, 2020 Accepting new patients
Mayo Clinic Arizona CurrentSince Oct 22, 2020 Accepting new patients

Locations

5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800

13400 E Shea Blvd
Scottsdale, AZ 85259

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1952910077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 23RD AVE E STE 102",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787402",
            "telephone_number": "701-356-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 23RD AVE E STE 102",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787402",
            "telephone_number": "701-356-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBEY",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC1067",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8101",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

Verify at the official NPI Registry.