SARA THERIAC (APRN-CNP) – Nurse Practitioner, NPI 1003460452

SARA THERIAC (APRN-CNP) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. 116331 (OK). The NPI Number for SARA THERIAC (APRN-CNP) is 1003460452

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SARA THERIAC (APRN-CNP)
NPI
1003460452
Phone
(918) 712-4301
Address
2325 S HARVARD AVE
Enumeration Date
24 July 2019
Last Update Date
14 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
9189213200
Graduation Year
2021 (5 years ago)
PAC ID
2769859925
Group Practice PAC ID
9830170687
Professional Enrollment ID
I20221101003104
Address ID
OK741279043TU1055XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for SARA THERIAC (APRN-CNP)

  • 2325, South Harvard Avenue, Florence Park South, Tulsa, Tulsa County, Oklahoma, 74114, United States

    TULSA, OK 741143300

    Phone: (918) 712-4301

    Type: Location

  • 1055 S HOUSTON AVE

    TULSA, OK 741279043

    Phone: (918) 921-3200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $420.

Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($202).

Total Amount

$420

General + Research + Ownership

Payments

17

Total payment records

General Amount

$420

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2022-11-01

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
I20221101003104INurse PractitionerOKTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes2419$0
View full utilization report →

Insurance plans in this area (ZIP 74114)

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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: 9830170687View full group profile
NameSpecialtyState
Nurse PractitionerOK
Physician AssistantOK
P S Y C H I A T R YOK
Clinical Social WorkerOK
Mental Health CounselorOK
Mental Health CounselorOK
-OK
Clinical Social WorkerOK
Nurse PractitionerOK
P S Y C H I A T R YOK

Reviews

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Frequently asked questions

What is the standard ID for SARA THERIAC (APRN-CNP) in the U.S.?
In the U.S., SARA THERIAC (APRN-CNP) is identified by NPI 1003460452.
Is SARA THERIAC (APRN-CNP) currently accepting referrals based on NPI status?
Registry metadata lists SARA THERIAC (APRN-CNP) as active.
Which specialty label fits SARA THERIAC (APRN-CNP)?
NPPES ties SARA THERIAC (APRN-CNP) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit SARA THERIAC (APRN-CNP) in Tulsa, Oklahoma?
For routing, start with Tulsa, Oklahoma for SARA THERIAC (APRN-CNP), then verify phone and hours locally.
Can I export SARA THERIAC (APRN-CNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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