SARA DEATHERAGE (FNP-C) – Family Nurse Practitioner, NPI 1104374693
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for SARA DEATHERAGE (FNP-C)
236 CLEARFIELD AVE STE 215
VIRGINIA BEACH, VA 234621893
Phone: (757) 853-1380
Type: Location
Building 2, 1601, Barton Road, Redlands, San Bernardino County, California, 92373, United States
109
REDLANDS, CA 92373
Phone: (760) 892-4107
Type: Mailing
940 General Booth Blvd
Virginia Beach, VA 234514861
Phone: (757) 425-3610
Type: Location
940, General Booth Boulevard, Virginia Beach, Virginia, 23451, United States
VIRGINIA BEACH, VA 234514861
Phone: (757) 425-3610
Type: Location
PO BOX 639295 DEPT 93394
CINCINNATI, OH 452639295
Phone: (248) 266-4200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $464.
Total Amount is formed as General ($464) + Research ($0) + Ownership ($0) = $464.
Last reported payment date: 2024-01-26 • Largest payer in this snapshot: ABBVIE INC. ($227).
Total Amount
$464
General + Research + Ownership
Payments
25
Total payment records
General Amount
$464
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-12-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191204000821 | I | Nurse Practitioner | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 159 | 108 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 43 | $0 |
| 82947 | Blood glucose (sugar) level | 41 | 31 | $0 |
| 81002 | Urinalysis, manual test | 30 | 26 | $0 |
| 83036 | Hemoglobin a1c level | 26 | 23 | $0 |
Insurance plans in this area (ZIP 23462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | MI | |
| - | OH | |
| - | WI | |
| Nurse Practitioner | KY | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Internal Medicine | WI | |
| - | VA | |
| - | MI |
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