SARAH ELIZABETH GRUBE (PA-C) – Physician Assistant, NPI 1134728686

SARAH ELIZABETH GRUBE (PA-C) is a healthcare provider. based in Stony brook, New York. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 027609 (NY). The NPI Number for SARAH ELIZABETH GRUBE (PA-C) is 1134728686

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SARAH ELIZABETH GRUBE (PA-C)
NPI
1134728686
Phone
(631) 444-1116
Address
100 NICOLLS RD RM 80
Enumeration Date
25 October 2020
Last Update Date
28 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6314441213
Graduation Year
2021 (5 years ago)
PAC ID
4789076381
Group Practice PAC ID
7719876796
Professional Enrollment ID
I20220111001321
Address ID
NY117948122ST101XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

13,360 PHYSICIAN ASSISTANT in NY

Provider Addresses for SARAH ELIZABETH GRUBE (PA-C)

  • 100 NICOLLS RD RM 80

    STONY BROOK, NY 117941667

    Phone: (631) 444-1116

    Fax: (631) 444-1535

    Type: Location

  • 5599 THOMPSON RD APT A8

    SYRACUSE, NY 132141667

    Phone: (631) 953-7346

    Type: Mailing

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: 2022-01-11

PECOS data refreshed: 2026-06-15

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
I20220111001321IPhysician AssistantNYTBD

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
99282Emergency department visit with straightforward medical decision making8282$0
99283Emergency department visit with low level of medical decision making2121$0
View full utilization report →

Insurance plans in this area (ZIP 11794)

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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: 7719876796View full group profile
NameSpecialtyState
Physician AssistantNY
Neurosurgery, Critical Care (Intensivists)IL
Nurse PractitionerNY
N E U R O S U R G E R YNY
Physician AssistantNY
Physician AssistantNY
Physician AssistantNY
Physician AssistantNY
Physician AssistantPA
Physician AssistantNY

Reviews

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Frequently asked questions

What unique ID ties claims to SARAH ELIZABETH GRUBE (PA-C)?
NPI 1134728686 is assigned to SARAH ELIZABETH GRUBE (PA-C) under the national enumeration system.
Is SARAH ELIZABETH GRUBE (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SARAH ELIZABETH GRUBE (PA-C)'s specialty in plain language?
Clinically, the directory lists SARAH ELIZABETH GRUBE (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does SARAH ELIZABETH GRUBE (PA-C) practice in New York?
You will see Stony Brook, New York on file for SARAH ELIZABETH GRUBE (PA-C) alongside any extra practice locations.
How can I contact SARAH ELIZABETH GRUBE (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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