MS. SARA LESLEY ELLISON (NP) – Women's Health Nurse Practitioner, NPI 1356658769

MS. SARA LESLEY ELLISON (NP) is a healthcare provider. based in Burlington, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN252608 (MA). The NPI Number for MS. SARA LESLEY ELLISON (NP) is 1356658769

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MS. SARA LESLEY ELLISON (NP)
NPI
1356658769
Phone
(781) 221-2500
Address
20 WALL ST
Enumeration Date
7 September 2010
Last Update Date
7 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6176296000
Graduation Year
2010 (16 years ago)
PAC ID
1951598424
Group Practice PAC ID
4789588641
Professional Enrollment ID
I20101209000553
Address ID
MA021442705SO40XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for MS. SARA LESLEY ELLISON (NP)

  • 20 WALL ST

    WOMEN'S HEALTH DEPARTMENT

    BURLINGTON, MA 018034758

    Phone: (781) 221-2500

    Fax: (781) 221-2510

    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: 2010-12-09

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
I20101209000553INurse PractitionerMATBD

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 01803)

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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: 4789588641View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MS. SARA LESLEY ELLISON (NP) in the U.S.?
In the U.S., MS. SARA LESLEY ELLISON (NP) is identified by NPI 1356658769.
Does the public listing show MS. SARA LESLEY ELLISON (NP) as active?
MS. SARA LESLEY ELLISON (NP)'s NPI record reflects an active status in NPPES.
What services align with MS. SARA LESLEY ELLISON (NP)'s listing?
MS. SARA LESLEY ELLISON (NP)'s public classification highlights Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MS. SARA LESLEY ELLISON (NP) in Burlington, Massachusetts?
For routing, start with Burlington, Massachusetts for MS. SARA LESLEY ELLISON (NP), then verify phone and hours locally.
Can I export MS. SARA LESLEY ELLISON (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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