SARAH E KELLEHER (PA-C) – Medical Physician Assistant, NPI 1215073663

SARAH E KELLEHER (PA-C) is a healthcare provider. based in Gainesville, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110002769 (VA). The NPI Number for SARAH E KELLEHER (PA-C) is 1215073663

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
SARAH E KELLEHER (PA-C)
NPI
1215073663
Phone
(703) 754-0425
Address
14535 JOHN MARSHALL HWY
Enumeration Date
30 January 2007
Last Update Date
6 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037540425
Graduation Year
2006 (20 years ago)
PAC ID
4880694579
Group Practice PAC ID
4385682061
Professional Enrollment ID
I20141229000455
Address ID
VA201554024GA14535105X500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

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Provider Addresses for SARAH E KELLEHER (PA-C)

  • Greenhill Family Dental Practice, 14535, John Marshall Highway, Gainesville, Prince William County, Virginia, 20155, United States

    SUITE 105

    GAINESVILLE, VA 201554023

    Phone: (703) 754-0425

    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)

CMS reports 11 Open Payments records for all available years, with a total value of $229.

Total Amount is formed as General ($229) + Research ($0) + Ownership ($0) = $229.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: PFIZER INC. ($68).

Total Amount

$229

General + Research + Ownership

Payments

11

Total payment records

General Amount

$229

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

Latest reported date

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: 2014-12-29

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
I20120713000115IPhysician AssistantDCTBD
I20141229000455IPhysician AssistantVATBD

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
36415Insertion of needle into vein for collection of blood sample14286$0
99214Established patient office or other outpatient visit, 30-39 minutes11184$0
99215Established patient office or other outpatient visit, 40-54 minutes4130$0
G0444Annual depression screening, 5 to 15 minutes3838$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3737$0
View full utilization report →

Insurance plans in this area (ZIP 20155)

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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: 4385682061View full group profile

Reviews

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Frequently asked questions

What number should I use to identify SARAH E KELLEHER (PA-C) for billing?
Administrative and clinical systems typically use NPI 1215073663 for SARAH E KELLEHER (PA-C).
Is SARAH E KELLEHER (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists SARAH E KELLEHER (PA-C) as active.
What does the directory say SARAH E KELLEHER (PA-C) does?
Insurance directories may phrase it differently, but here SARAH E KELLEHER (PA-C) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is SARAH E KELLEHER (PA-C) tied to Gainesville, Virginia?
If you are local to Gainesville, Virginia, SARAH E KELLEHER (PA-C) may be relevant to your search.
Can I export SARAH E KELLEHER (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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