MRS. SARAH OUTLY (CNM) – Advanced Practice Midwife, NPI 1053040790

MRS. SARAH OUTLY (CNM) is a healthcare provider. based in Maumee, Ohio. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. The NPI Number for MRS. SARAH OUTLY (CNM) is 1053040790

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SARAH OUTLY (CNM)
NPI
1053040790
Phone
(419) 304-5425
Address
2052 KELLERSTON RD
Enumeration Date
8 June 2022
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192912200
Graduation Year
2021 (5 years ago)
PAC ID
9537531512
Group Practice PAC ID
2961309638
Professional Enrollment ID
I20230221002600
Address ID
OH436063834TO2150XAVEX400

Contacts

Secure Messaging
soutly258832@epicdirect.promedica.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness85
Years active:4State licenses:0Other namesUpdated within 12 months

292 CERTIFIED NURSE MIDWIFE (CNM) in OH

Provider Addresses for MRS. SARAH OUTLY (CNM)

  • 2052 KELLERSTON RD

    MAUMEE, OH 435371117

    Phone: (419) 304-5425

    Type: Mailing

  • 2150 W CENTRAL AVE

    TOLEDO, OH 436063834

    Phone: (419) 291-2192

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-06-20 • Largest payer in this snapshot: Exeltis, USA Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Exeltis, USA Inc.$19
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: 2023-02-21

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
I20230221002600ICertified Nurse Midwife (Cnm)OHTBD

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 43537)

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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: 2961309638View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)OH
O B S T E T R I C S/ G Y N E C O L O G YOH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
Certified Nurse Midwife (Cnm)OH
O B S T E T R I C S/ G Y N E C O L O G YOH
Physician AssistantOH
Pediatric MedicineOH
-OH

Reviews

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Frequently asked questions

Can I verify MRS. SARAH OUTLY (CNM) with an NPI only?
You can start verification with NPI 1053040790 for MRS. SARAH OUTLY (CNM), then check state licensing separately.
Is MRS. SARAH OUTLY (CNM) listed as active for patients and plans?
The listing shows MRS. SARAH OUTLY (CNM) as active in the NPI system.
What is MRS. SARAH OUTLY (CNM) best known for clinically?
Directory data describes MRS. SARAH OUTLY (CNM) with Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. SARAH OUTLY (CNM) on a map?
Expect Maumee, Ohio as a primary anchor for MRS. SARAH OUTLY (CNM) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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