SARAH ANN RAY (FNP-BC) – Nurse Practitioner, NPI 1417103714

SARAH ANN RAY (FNP-BC) is a healthcare provider. based in Kalkaska, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. AP3113 (AZ). The NPI Number for SARAH ANN RAY (FNP-BC) is 1417103714

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
SARAH ANN RAY (FNP-BC)
NPI
1417103714
Phone
(231) 258-7500
Address
419 S CORAL ST
Enumeration Date
18 August 2008
Last Update Date
25 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2312587500
Graduation Year
2008 (18 years ago)
PAC ID
6800964966
Group Practice PAC ID
3577536002
Professional Enrollment ID
I20220318002284
Address ID
MI496462503KA419XXSTXX400

Contacts

Secure Messaging
sray33@direct.mhc.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for SARAH ANN RAY (FNP-BC)

  • 419 S CORAL ST

    KALKASKA, MI 496462503

    Phone: (231) 258-7500

    Type: Mailing

  • Bren Road East, Minnetonka, Hennepin County, Minnesota, 55343, United States

    MINNETONKA, MN 553439664

    Phone: (520) 260-6643

    Type: Mailing

  • 9900 Bren Rd E

    Minnetonka, MN 553439664

    Phone: (520) 260-6643

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $757.

Total Amount is formed as General ($757) + Research ($0) + Ownership ($0) = $757.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Eisai Inc. ($117).

Total Amount

$757

General + Research + Ownership

Payments

25

Total payment records

General Amount

$757

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-03-18

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
I20220318002284INurse PractitionerMITBD

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 49646)

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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: 3577536002View full group profile
NameSpecialtyState
Family PracticeMI
G A S T R O E N T E R O L O G YMI
O T O L A R Y N G O L O G YMI
Physician AssistantMI
Family PracticeMI
Orthopedic SurgeryMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Family PracticeMI

Reviews

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Frequently asked questions

Can I verify SARAH ANN RAY (FNP-BC) with an NPI only?
You can start verification with NPI 1417103714 for SARAH ANN RAY (FNP-BC), then check state licensing separately.
Can I rely on SARAH ANN RAY (FNP-BC) being an active provider?
As of the registry snapshot, SARAH ANN RAY (FNP-BC) is marked active.
What healthcare role does SARAH ANN RAY (FNP-BC) hold?
Scheduling teams often label SARAH ANN RAY (FNP-BC) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SARAH ANN RAY (FNP-BC) based?
SARAH ANN RAY (FNP-BC) is tied to Kalkaska, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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