SARAH B OLTMAN (PA-C) – Physician Assistant, NPI 1255952164

SARAH B OLTMAN (PA-C) is a healthcare provider. based in Salem, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA206796 (OR). The NPI Number for SARAH B OLTMAN (PA-C) is 1255952164

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SARAH B OLTMAN (PA-C)
NPI
1255952164
Phone
(971) 300-0654
Address
2480 LIBERTY ST NE STE 110
Enumeration Date
1 May 2020
Last Update Date
8 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9713000654
Graduation Year
2021 (5 years ago)
PAC ID
6608273016
Group Practice PAC ID
7517354517
Professional Enrollment ID
I20210928002826
Address ID
OR972238074PO13535AVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for SARAH B OLTMAN (PA-C)

  • 2480 LIBERTY ST NE STE 110

    SALEM, OR 973018381

    Phone: (971) 300-0654

    Type: Location

  • 2730 SW MOODY AVE

    PORTLAND, OR 972015042

    Phone:

    Type: Mailing

  • 1401 N 10TH AVE

    STAYTON, OR 973831311

    Phone: (503) 769-2175

    Type: Location

  • 7126 N KELLOGG ST

    PORTLAND, OR 972033963

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $694.

Total Amount is formed as General ($694) + Research ($0) + Ownership ($0) = $694.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($98).

Total Amount

$694

General + Research + Ownership

Payments

33

Total payment records

General Amount

$694

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2021-09-28

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
I20210928002826IPhysician AssistantORTBD

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 97301)

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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: 7517354517View full group profile
NameSpecialtyState
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerUT
Nurse PractitionerOR
Physician AssistantOR
Nurse PractitionerOR
Physician AssistantWA
Nurse PractitionerWA
Physician AssistantOR

Reviews

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Frequently asked questions

What identifier follows SARAH B OLTMAN (PA-C) across health systems?
The NPI 1255952164 uniquely identifies SARAH B OLTMAN (PA-C) in U.S. healthcare data.
Does the public listing show SARAH B OLTMAN (PA-C) as active?
SARAH B OLTMAN (PA-C)'s NPI record reflects an active status in NPPES.
How should patients interpret SARAH B OLTMAN (PA-C)'s specialty?
The extract shows Physician Assistant for SARAH B OLTMAN (PA-C). Clinical services aligned with this taxonomy classification.
Which community is linked to SARAH B OLTMAN (PA-C)?
SARAH B OLTMAN (PA-C) shows a connection to Salem, Oregon in registry-derived data.
Who maintains SARAH B OLTMAN (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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