Individual provider Active NPI

Sara Ann Deringer-Kohorst, PA-C

  • Medical Physician Assistant
  • Ovid, MI
National Provider Identifier
1962740266
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601006331 Issued in MI
Practice address
9900 W M 21
Ovid, MI 48866-9523
Phone
(989) 834-2243
Fax
(989) 834-5478
NPI assigned
Jan 21, 2013
Last updated
Apr 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601006331 MI Primary

Addresses

Primary practice location

9900 W M 21
Ovid, MI 48866-9523

Mailing address

9900 W M 21
Ovid, MI 48866-9523
Phone (989) 834-2243

Other names 1

  • Sara Ann Deringer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20130314000472 MI Practitioner - Physician Assistant 3577708825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

826 W King St
Owosso, MI 48867-2120

9900 W M 21
Ovid, MI 48866-9798

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601006331MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Physician Assistant CurrentSince Feb 1, 2013 Accepting new patients
Memorial Hospital CurrentSince Feb 1, 2013 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

9900 W M 21
Ste 101
Ovid, MI 48866
Phone (989) 834-2243

1975 W M 21
Ste 103
Owosso, MI 48867

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

Interoperability endpoints

  • Direct secure messaging: s.deringerkohorst@memorialhealthcare.midirect.net
  • Direct secure messaging: saraderingerkohorst@memh.allscriptsdirect.net

Organizations & group practices 4

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": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1962740266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 W M 21",
            "city": "OVID",
            "state": "MI",
            "postal_code": "488669523",
            "telephone_number": "989-834-2243",
            "fax_number": "989-834-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 W M 21",
            "city": "OVID",
            "state": "MI",
            "postal_code": "488669523",
            "telephone_number": "989-834-2243",
            "fax_number": "989-834-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERINGER-KOHORST",
        "first_name": "SARA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "DERINGER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ovid, MI

Sources for this page

Verify at the official NPI Registry.