SARAH R BARDWELL (MD) – Family Medicine Physician, NPI 1194308387

SARAH R BARDWELL (MD) is a healthcare provider. based in Nampa, Idaho. specializing in FAMILY PRACTICE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. M-16908 (ID). The NPI Number for SARAH R BARDWELL (MD) is 1194308387

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SARAH R BARDWELL (MD)
NPI
1194308387
Phone
(208) 205-7282
Address
9850 W St Lukes Dr
Enumeration Date
4 May 2021
Last Update Date
6 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Secondary Phone
7198462206
Graduation Year
2021 (5 years ago)
PAC ID
4486878675
Group Practice PAC ID
2769394055
Professional Enrollment ID
I20251125001315
Address ID
CO810822089TR400XXAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

969 FAMILY PRACTICE in ID

Provider Addresses for SARAH R BARDWELL (MD)

  • 9850 W St Lukes Dr

    Nampa, ID 836877912

    Phone: (208) 205-7282

    Type: Location

  • 9850 W ST LUKES DR STE 329

    NAMPA, ID 836877912

    Phone: (208) 514-2509

    Fax: (208) 375-2217

    Type: Location

  • 777 N RAYMOND ST

    BOISE, ID 837049251

    Phone: (208) 514-2500

    Type: Mailing

  • 215 E HAWAII AVE STE 140

    NAMPA, ID 836866011

    Phone: (208) 514-2529

    Fax: (208) 375-2217

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240918003794IFamily PracticeIDTBD
I20251125001315IFamily PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83687)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769394055View full group profile
NameSpecialtyState
General SurgeryNM
-CO
Physician AssistantTN
Physician AssistantCT
Family PracticeOR
Nurse PractitionerCO
Cardiovascular Disease (Cardiology), Internal MedicineCO
General SurgeryCO
General Practice, Emergency Medicine, Family PracticeCO
Family PracticeCO

Reviews

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Frequently asked questions

Is there an official ID for SARAH R BARDWELL (MD) in U.S. healthcare records?
The official identifier for SARAH R BARDWELL (MD) is NPI 1194308387.
Active or inactive — what applies to SARAH R BARDWELL (MD)?
You should see SARAH R BARDWELL (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for SARAH R BARDWELL (MD)?
At a glance, SARAH R BARDWELL (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SARAH R BARDWELL (MD)?
Directory geography for SARAH R BARDWELL (MD) centers on Nampa, Idaho.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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