SARA BOUFFARD (PA-C) – Physician Assistant, NPI 1356020119

SARA BOUFFARD (PA-C) is a healthcare provider. based in Austin, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA17193 (TX). The NPI Number for SARA BOUFFARD (PA-C) is 1356020119

Main info

Female
3 Years Of Experience
Name
SARA BOUFFARD (PA-C)
NPI
1356020119
Phone
Not provided
Address
4900 MUELLER BLVD
Enumeration Date
17 July 2023
Last Update Date
20 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5123458970
Graduation Year
2023 (3 years ago)
PAC ID
5193253987
Group Practice PAC ID
9739491564
Professional Enrollment ID
I20250107002449
Address ID
TX786132968CE2500XBLVD401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for SARA BOUFFARD (PA-C)

  • 4900 MUELLER BLVD

    AUSTIN, TX 787233051

    Phone:

    Mailing address matches the actual address.

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: 2025-01-07

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
I20250107002449IPhysician AssistantTXTBD

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 78723)

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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: 9739491564View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for SARA BOUFFARD (PA-C)?
SARA BOUFFARD (PA-C) — NPI 1356020119 — is the standard way to identify this listing.
Can I rely on SARA BOUFFARD (PA-C) being an active provider?
As of the registry snapshot, SARA BOUFFARD (PA-C) is marked active.
What is SARA BOUFFARD (PA-C) best known for clinically?
Directory data describes SARA BOUFFARD (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does SARA BOUFFARD (PA-C) list a practice location?
Patients near Austin, Texas may find SARA BOUFFARD (PA-C) in results; validate coverage separately.
Why does SARA BOUFFARD (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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