Individual provider Active NPI

Sarah Kucera, PA-C

  • Physician Assistant
  • Bismarck, ND
National Provider Identifier
1972040103
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1221 W Divide Ave
Bismarck, ND 58501-1224
Phone
(877) 522-1275
Fax
(833) 888-7145
NPI assigned
Jan 25, 2017
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1221 W Divide Ave
Bismarck, ND 58501-1224

Mailing address

500 SW 7TH St Ste A205
Renton, WA 98057-2983
Phone (509) 222-1275

Other names 1

  • Sarah Hatzenbuhler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MT, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170406001694 ND Practitioner - Physician Assistant 9133405103 Reassigns benefits to 3 organizations
I20221129000234 MT Practitioner - Physician Assistant 9133405103 Reassigns benefits to 2 organizations
I20230828002941 WA Practitioner - Physician Assistant 9133405103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ideal Option PLLCGroup PAC ID 6709013105, 90 clinicians

Practice addresses (Care Compare)

105 26TH St E
Williston, ND 58801-3013
Phone (877) 522-1275

1221 W Divide Ave
Suite 202
Bismarck, ND 58501-1224
Phone (877) 522-1275

3301 30TH Ave S
Suite 102
Grand Forks, ND 58201-6009
Phone (877) 522-1275

3345 39TH St S
Suite 2
Fargo, ND 58104-7539
Phone (877) 522-1275

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Option, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Sanford Bismarck CurrentSince Mar 27, 2017 Accepting new patients
Ideal Telemedicine Services, LLC PastSince Nov 17, 2024 Accepting new patients

Locations (25 of 49)

1523 Wyoming Ave
Billings, MT 59102
Phone (406) 248-3175

1532 Ellis St
Ste 104
Bozeman, MT 59715
Phone (406) 581-3381

834 S Montana St
Butte, MT 59701
Phone (406) 723-0123

615 W Main St
Cut Bank, MT 59427
Phone (406) 872-2024

74 4th St N
Glasgow, MT 59230

617 10th Ave S
Great Falls, MT 59405
Phone (406) 727-9330

301 Saddle Dr
Ste G
Helena, MT 59601
Phone (406) 422-5905

1205 S Main St
Kalispell, MT 59901

2685 Palmer St
Ste D
Missoula, MT 59808
Phone (406) 327-4349

1221 W Divide Ave
Ste 202
Bismarck, ND 58501

1221 W Divide Ave
Bismarck, ND 58501
Phone (701) 224-0661

300 N 7th St
Bismarck, ND 58501
Phone (701) 323-6153

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

3345 39th St S
Ste 2
Fargo, ND 58104

3301 30th Ave S
Ste 102
Grand Forks, ND 58201
Phone (701) 340-0818

1625 S Broadway
Ste 160
Minot, ND 58701

105 26th St E
Williston, ND 58801

158 W Olive St
Newport, OR 97365
Phone (541) 248-2634

16410 Smokey Point Blvd
Ste 101
Arlington, WA 98223
Phone (360) 653-8711

1811 Howard Rd
Ste 101
Auburn, WA 98002

1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200

3800 Byron Ave
Ste 122
Bellingham, WA 98229

3800 Byron Ave
Ste 116
Bellingham, WA 98229
Phone (509) 416-0253

667 Grant Rd
Ste 3
East Wenatchee, WA 98802
Phone (509) 860-6530

7315 212th St SW
Ste 201
Edmonds, WA 98026
Phone (425) 778-8116

Organizations & group practices 5

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": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1972040103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE A205",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572983",
            "telephone_number": "509-222-1275",
            "fax_number": "509-491-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W DIVIDE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011224",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCERA",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HATZENBUHLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.