Individual provider Active NPI

Sarah Baugher Wallingford, PA-C

  • Medical Physician Assistant
  • Lincoln, NE
National Provider Identifier
1962456202
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1101 Issued in NE
Practice address
550 N 19TH St
Lincoln, NE 68588-0046
Phone
(402) 472-5000
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1101 NE
Medical Physician Assistant 363AM0700X 1101 NE Primary

Addresses

Primary practice location

550 N 19TH St
Lincoln, NE 68588-0046

Mailing address

PO Box 880618
Lincoln, NE 68588-0618
Phone (402) 472-5000

Other practice location 1

17160 Middle Ln
Gretna, NE 68028-6572
Phone (402) 517-1491

Other practice location 2

7441 O St Ste 400
Lincoln Family Medical Group PC
Lincoln, NE 68510-2466
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
I20201023001952 NE Practitioner - Physician Assistant 4880582394 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1101NEMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Family Medical Group PC Past Accepting new patients
Rheumatology & Osteoporosis Services, P.C. PastSince Sep 12, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1962456202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880618",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685880618",
            "telephone_number": "402-472-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N 19TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685880046",
            "telephone_number": "402-472-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17160 Middle Ln",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "NE",
            "postal_code": "680286572",
            "country_code": "US",
            "telephone_number": "402-517-1491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7441 O St Ste 400",
            "address_2": "Lincoln Family Medical Group PC",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685102466",
            "country_code": "US",
            "telephone_number": "402-488-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLINGFORD",
        "first_name": "SARAH",
        "middle_name": "BAUGHER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1101",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.