SARA VIPOND – Psychiatric/Mental Health Nurse Practitioner, NPI 1417616764

SARA VIPOND is a healthcare provider. based in Crystal, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 8845 (MN). The NPI Number for SARA VIPOND is 1417616764

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SARA VIPOND
NPI
1417616764
Phone
(763) 330-2774
Address
5700 BOTTINEAU BLVD
Enumeration Date
14 December 2021
Last Update Date
27 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524315330
Graduation Year
2021 (5 years ago)
PAC ID
5597158329
Group Practice PAC ID
6305934597
Professional Enrollment ID
I20220131001418
Address ID
MN553697048MA12000BLVD402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for SARA VIPOND

  • 5700 BOTTINEAU BLVD

    CRYSTAL, MN 554293183

    Phone: (763) 330-2774

    Type: Mailing

  • 5700 BOTTINEAU BLVD STE 210

    CRYSTAL, MN 554293184

    Phone: (763) 330-2774

    Type: Location

  • 7201 METRO BLVD STE 550

    EDINA, MN 554391353

    Phone: (952) 283-0788

    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 $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: ABBVIE INC. ($30).

Total Amount

$48

General + Research + Ownership

Payments

3

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

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: 2022-01-31

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
I20220131001418INurse PractitionerMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15255$0
90833Psychotherapy with evaluation and management visit, 30 minutes9141$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
99213Established patient office or other outpatient visit, 20-29 minutes2015$0
View full utilization report →

Insurance plans in this area (ZIP 55429)

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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: 6305934597View full group profile
NameSpecialtyState
Nurse PractitionerMN
Clinical PsychologistIL
P S Y C H I A T R YMN
P S Y C H I A T R YMN
Mental Health CounselorMN
Nurse PractitionerWI
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)WI
Marriage And Family TherapistMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What NPI should I save for SARA VIPOND?
Save NPI 1417616764 if you need a stable reference for SARA VIPOND.
Is SARA VIPOND active in the national directory?
SARA VIPOND's public NPI profile is in an active state.
Can you summarize SARA VIPOND's specialty in plain language?
Clinically, the directory lists SARA VIPOND with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SARA VIPOND's primary listing?
We display Crystal, Minnesota because that is what the record indicates for SARA VIPOND.
Is SARA VIPOND a real provider?
This page reflects official NPPES data for NPI 1417616764. Always confirm identity and privileges with the practice and licensing boards.

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