SARA WILSON – Nurse Practitioner, NPI 1417338104
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for SARA WILSON
1906 FAIRVIEW AVE STE 230
CALDWELL, ID 836055432
Phone: (208) 459-4667
Fax: (208) 442-6520
Type: Location
2960 E. ST. LUKES ST.
STE. 200
MERIDIAN, ID 836426011
Phone: (208) 992-5212
Fax: (208) 992-5452
Type: Mailing
1074 W MAIN ST
MIDDLETON, ID 836445270
Phone: (208) 989-9909
Fax: (208) 266-9234
Type: Mailing
PO BOX 742941
ATLANTA, GA 303742941
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $62.
Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Merz North America, Inc. ($28).
Total Amount
$62
General + Research + Ownership
Payments
3
Total payment records
General Amount
$62
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merz North America, Inc. | $28 |
| Boston Scientific Corporation | $17 |
| Galderma Laboratories, L.P. | $17 |
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: 2015-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151001002900 | I | Nurse Practitioner | ID | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 127 | 75 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 66 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 20 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 26 | 26 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 26 | 25 | $0 |
Insurance plans in this area (ZIP 83605)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | ID |
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