SARA M HAKE (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1275413817

SARA M HAKE (PMHNP) is a healthcare provider. based in Concordia, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 53-84737-022 (KS). The NPI Number for SARA M HAKE (PMHNP) is 1275413817

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
SARA M HAKE (PMHNP)
NPI
1275413817
Phone
(785) 243-4272
Address
155 W COLLEGE DR
Enumeration Date
4 September 2025
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7852431234
Graduation Year
2025 (1 year ago)
PAC ID
0345737706
Group Practice PAC ID
4082522859
Professional Enrollment ID
I20251017002680
Address ID
KS669015207CO155XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for SARA M HAKE (PMHNP)

  • 155 W COLLEGE DR

    CONCORDIA, KS 669015207

    Phone: (785) 243-4272

    Mailing address matches the actual address.

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: 2025-10-17

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251017002680INurse PractitionerKSTBD

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 66901)

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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: 4082522859View full group profile
NameSpecialtyState
Physician AssistantKS
Physician AssistantKS
Rheumatology, Allergy/Immunology, Internal Medicine, RheumatologyKS
Family PracticeKS
Physician AssistantKS
Family PracticeKS
Physician AssistantKS
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeKS

Reviews

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Frequently asked questions

Can I cross-check SARA M HAKE (PMHNP) using NPI 1275413817?
NPI 1275413817 belongs to SARA M HAKE (PMHNP); compare other details if you need extra assurance.
Would SARA M HAKE (PMHNP) appear as active to a payer?
You can treat SARA M HAKE (PMHNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to SARA M HAKE (PMHNP)?
SARA M HAKE (PMHNP)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Kansas is SARA M HAKE (PMHNP) registered?
Use Concordia, Kansas as the headline location for SARA M HAKE (PMHNP) here.
When was this NPI issued?
Enumeration for SARA M HAKE (PMHNP) is noted as September 4, 2025 where the registry provides it.

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