SARA G FILL (PA-C) – Medical Physician Assistant, NPI 1104920461

SARA G FILL (PA-C) is a healthcare provider. based in Grand island, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1006 (NE). The NPI Number for SARA G FILL (PA-C) is 1104920461

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
SARA G FILL (PA-C)
NPI
1104920461
Phone
(308) 398-5560
Address
2116 W FAIDLEY AVE
Enumeration Date
8 September 2006
Last Update Date
28 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3083986400
Graduation Year
2001 (25 years ago)
PAC ID
2365539590
Group Practice PAC ID
7719978261
Professional Enrollment ID
I20071103000116
Address ID
NE688033910GR3610XCIRX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

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Provider Addresses for SARA G FILL (PA-C)

  • Family Practice of Grand Island, 2116, West Faidley Avenue, Grand Island, Hall County, Nebraska, 68803, United States

    GRAND ISLAND, NE 688034645

    Phone: (308) 398-5560

    Fax: (308) 398-5306

    Type: Location

  • O Street, Lincoln, Lancaster County, Nebraska, 68527, United States

    STE 300

    LINCOLN, NE 685102580

    Phone: (402) 421-0896

    Fax: (402) 421-0945

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $1,034.

Total Amount is formed as General ($1,034) + Research ($0) + Ownership ($0) = $1,034.

Last reported payment date: 2023-09-27 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($994).

Total Amount

$1,034

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,034

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-27

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: 2007-11-03

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
I20071103000116IPhysician AssistantNETBD

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 minutes208142$0
J2795Injection, ropivacaine hydrochloride, 1 mg6920$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg2620$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance1615$0
View full utilization report →

Insurance plans in this area (ZIP 68803)

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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: 7719978261View full group profile
NameSpecialtyState
Diagnostic RadiologyAZ
Diagnostic RadiologyCO
Diagnostic RadiologyOK
Diagnostic RadiologyNE
-NE
Diagnostic RadiologyNE
Diagnostic RadiologyCO
Diagnostic RadiologyNE
Diagnostic RadiologyNE
Interventional RadiologyNE

Reviews

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Frequently asked questions

What identifier follows SARA G FILL (PA-C) across health systems?
The NPI 1104920461 uniquely identifies SARA G FILL (PA-C) in U.S. healthcare data.
Does the public listing show SARA G FILL (PA-C) as active?
SARA G FILL (PA-C)'s NPI record reflects an active status in NPPES.
What does the directory say SARA G FILL (PA-C) does?
Insurance directories may phrase it differently, but here SARA G FILL (PA-C) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to SARA G FILL (PA-C)?
SARA G FILL (PA-C) shows a connection to Grand Island, Nebraska in registry-derived data.
Who maintains SARA G FILL (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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