SARAH WYLLIE (PA-C) – Physician Assistant, NPI 1174078059

SARAH WYLLIE (PA-C) is a healthcare provider. based in Oxford, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA5838 (MA). The NPI Number for SARAH WYLLIE (PA-C) is 1174078059

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SARAH WYLLIE (PA-C)
NPI
1174078059
Phone
Not provided
Address
78 SUTTON AVE
Enumeration Date
19 August 2016
Last Update Date
15 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083341000
Graduation Year
2016 (10 years ago)
PAC ID
7517246317
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20161118001563
Address ID
MA016052138WO281XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for SARAH WYLLIE (PA-C)

  • 78, Sutton Avenue, Oxford, Worcester County, Massachusetts, 01540, United States

    OXFORD, MA 015401813

    Phone:

    Type: Mailing

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone:

    Type: Mailing

  • 281 LINCOLN ST

    WORCESTER, MA 016052138

    Phone: (508) 334-5958

    Fax: (508) 334-5752

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-04-21 • Largest payer in this snapshot: Smith+Nephew, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$19
View all Open Payments →|Open Payments Risk Radar →

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: 2016-11-18

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
I20161118001563IPhysician AssistantMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes181106$0
View full utilization report →

Insurance plans in this area (ZIP 01540)

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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: 4284539891View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
-MA
-MA
Family PracticeMA
Physician AssistantMA
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What unique ID ties claims to SARAH WYLLIE (PA-C)?
NPI 1174078059 is assigned to SARAH WYLLIE (PA-C) under the national enumeration system.
Is SARAH WYLLIE (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SARAH WYLLIE (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for SARAH WYLLIE (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place SARAH WYLLIE (PA-C)?
The snapshot lists Oxford, Massachusetts for SARAH WYLLIE (PA-C); download NPPES for the complete set.
What if Oxford, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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