SARAH MARTINEZ CISNEROS (PA) – Medical Physician Assistant, NPI 1376211029

SARAH MARTINEZ CISNEROS (PA) is a healthcare provider. based in Nyssa, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA-2105 (ID). The NPI Number for SARAH MARTINEZ CISNEROS (PA) is 1376211029

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SARAH MARTINEZ CISNEROS (PA)
NPI
1376211029
Phone
(541) 216-1749
Address
1363 ADRIAN BLVD
Enumeration Date
30 August 2021
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5418892340
Graduation Year
2021 (5 years ago)
PAC ID
6709275175
Group Practice PAC ID
0547169591
Professional Enrollment ID
I20241004000743
Address ID
OR979141851ON2327XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for SARAH MARTINEZ CISNEROS (PA)

  • 1363 ADRIAN BLVD

    NYSSA, OR 979135107

    Phone: (541) 216-1749

    Type: Mailing

  • 1441 NE 10TH AVE

    PAYETTE, ID 836615420

    Phone: (208) 642-9376

    Fax: (208) 642-9598

    Type: Mailing

  • 2327 SW 4TH AVE

    ONTARIO, OR 979141851

    Phone: (208) 642-7364

    Type: Location

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: 2024-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20211105002395IPhysician AssistantORTBD
I20241004000743IPhysician AssistantIDTBD

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
81002Urinalysis, manual test2221$0
View full utilization report →

Insurance plans in this area (ZIP 97913)

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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: 0547169591View full group profile
NameSpecialtyState
Physician AssistantID
Nurse PractitionerID
Physician AssistantID
-OR
Emergency Medicine, Family PracticeOR
Family PracticeID
Nurse PractitionerID
-ID
-ID
Physician AssistantTX

Reviews

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Frequently asked questions

Is there an official ID for SARAH MARTINEZ CISNEROS (PA) in U.S. healthcare records?
The official identifier for SARAH MARTINEZ CISNEROS (PA) is NPI 1376211029.
Is SARAH MARTINEZ CISNEROS (PA) still an active registrant?
SARAH MARTINEZ CISNEROS (PA) carries an active NPI according to the public dataset.
What clinical focus is listed for SARAH MARTINEZ CISNEROS (PA)?
At a glance, SARAH MARTINEZ CISNEROS (PA) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is SARAH MARTINEZ CISNEROS (PA) associated with Nyssa?
Public fields place SARAH MARTINEZ CISNEROS (PA) around Nyssa, Oregon. 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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