Individual provider Active NPI

Sara Lindsey Nyberg, MMS PA-C

  • Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1962840165
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2025012348 Issued in MO
Practice address
701 S New Ballas Rd Ste 510
Saint Louis, MO 63141-8726
Phone
(314) 251-6710
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Saint Louis University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Surgical Specialists LLC 180 clinicians

Practice addresses (Care Compare)

10777 Sunset Office Dr
Suite 120
Saint Louis, MO 63127-1019
Phone (314) 966-0111

621 S New Ballas Rd
Suite 3005B
Saint Louis, MO 63141-8266
Phone (314) 567-5850

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
78.27
Promoting interoperability
100
Improvement activities
40
Cost
76.62

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MO2 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
I20170224001563 AZ Practitioner - Physician Assistant 1254571466 Reassigns benefits to 1 organization
I20250610001844 MO Practitioner - Physician Assistant 1254571466 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6614AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Arizona CurrentSince Feb 20, 2017 Accepting new patients
Mayo Clinic Arizona CurrentSince Feb 20, 2017 Accepting new patients
Mercy Clinic East Communities Past Accepting new patients

Locations

2082 Mesquite Ave
Ste 112
Lake Havasu City, AZ 86403

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

13400 E Shea Blvd
Scottsdale, AZ 85259

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2025012348 MO Primary
Physician Assistant 363A00000X 6614 AZ

Addresses

NPPES NPI Registry

Primary practice location

701 S New Ballas Rd Ste 510
Saint Louis, MO 63141-8726

Mailing address

701 S New Ballas Rd Ste 510
Saint Louis, MO 63141-8726
Phone (314) 251-6710

Other practice location 1

10777 Sunset Office Dr Ste 120
Saint Louis, MO 63127-1019
Phone (314) 251-6710

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
3031221OtherWICIGNA
1962840165MedicaidWI

Other names 1

NPPES NPI Registry
  • Sara Lindsey Struve Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2026.

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1962840165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S NEW BALLAS RD STE 510",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418726",
            "telephone_number": "314-251-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S NEW BALLAS RD STE 510",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418726",
            "telephone_number": "314-251-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10777 Sunset Office Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271019",
            "country_code": "US",
            "telephone_number": "314-251-6710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYBERG",
        "first_name": "SARA",
        "middle_name": "LINDSEY",
        "credential": "MMS PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2025012348",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3031221",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962840165",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "STRUVE",
            "middle_name": "LINDSEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.