MRS. SARA RENEE' HATTAWAY (PA-C) – Medical Physician Assistant, NPI 1093086548

MRS. SARA RENEE' HATTAWAY (PA-C) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2105 (OK). The NPI Number for MRS. SARA RENEE' HATTAWAY (PA-C) is 1093086548

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SARA RENEE' HATTAWAY (PA-C)
NPI
1093086548
Phone
(918) 502-3943
Address
6161 S Yale Ave
Enumeration Date
14 January 2012
Last Update Date
20 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184942200
Graduation Year
2011 (15 years ago)
PAC ID
4486813839
Group Practice PAC ID
5395234678
Professional Enrollment ID
I20120305000604
Address ID
OK741361902TU6161XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for MRS. SARA RENEE' HATTAWAY (PA-C)

  • 6161 S Yale Ave

    Tulsa, OK 741361902

    Phone: (918) 502-3943

    Type: Location

  • 6475 S YALE AVE STE 401

    TULSA, OK 741367818

    Phone: (918) 502-9555

    Fax: (918) 502-9559

    Type: Location

  • 6161 S YALE AVE

    TULSA, OK 741361902

    Phone: (918) 502-3943

    Type: Mailing

  • 6600 S YALE AVE STE 1400

    TULSA, OK 741363331

    Phone: (888) 247-0125

    Fax: (918) 502-8210

    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 $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-07-04 • Largest payer in this snapshot: Olympus America Inc. ($65).

Total Amount

$118

General + Research + Ownership

Payments

3

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-04

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: 2012-03-05

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
I20120305000604IPhysician AssistantOKTBD

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
99284Emergency department visit with moderate level of medical decision making3232$0
99212Established patient office or other outpatient visit, 10-19 minutes2121$0
99285Emergency department visit with high level of medical decision making2020$0
99202New patient office or other outpatient visit, 15-29 minutes1919$0
99291Critical care, first 30-74 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 5395234678View full group profile
NameSpecialtyState
Nurse PractitionerWI
Emergency MedicineTX
Emergency MedicineCA
Physician AssistantOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantOK
Physician AssistantMO
Emergency MedicineID

Reviews

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Frequently asked questions

Can I cross-check MRS. SARA RENEE' HATTAWAY (PA-C) using NPI 1093086548?
NPI 1093086548 belongs to MRS. SARA RENEE' HATTAWAY (PA-C); compare other details if you need extra assurance.
Active or inactive — what applies to MRS. SARA RENEE' HATTAWAY (PA-C)?
You should see MRS. SARA RENEE' HATTAWAY (PA-C) as active in CMS-hosted NPPES data.
What clinical focus is listed for MRS. SARA RENEE' HATTAWAY (PA-C)?
At a glance, MRS. SARA RENEE' HATTAWAY (PA-C) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. SARA RENEE' HATTAWAY (PA-C) associated with Tulsa?
Public fields place MRS. SARA RENEE' HATTAWAY (PA-C) around Tulsa, Oklahoma. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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