SARAH ANDERSON – Physician Assistant, NPI 1194411751

Physician Assistant

SARAH ANDERSON is a healthcare provider. based in Janesville, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold a License No. 7905 (WI). The NPI Number for SARAH ANDERSON is 1194411751

Main info

Female

2 Years Of Experience

Accepts Medicare Assignment

Name

SARAH ANDERSON

NPI

1194411751

Phone

(608) 756-6000

Address

1000 Mineral Point Ave

Enumeration Date

14 April 2023

Last Update Date

3 September 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6087566508

Graduation Year

2024 (2 years ago)

PAC ID

1850832056

Group Practice PAC ID

7416860440

Professional Enrollment ID

I20240916000483

Address ID

WI535482940JA1000XAVEX400

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience35

Completeness75

Years active:3State licenses:1Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for SARAH ANDERSON

1000 Mineral Point Ave
Janesville, WI 535482940
Phone: (608) 756-6000
Type: Location
S82W17510 Clearbrook Dr
Muskego, WI 531507835
Phone: (262) 422-4221
Type: Location
S82W17510 CLEARBROOK DR
MUSKEGO, WI 531507835
Phone: (262) 422-4221
Type: Mailing
557 N WASHINGTON ST
JANESVILLE, WI 535482907
Phone: (608) 314-2301
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: 2024-09-16

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

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
I20240916000483	I	Physician Assistant	WI	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.

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 53548)

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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: 7416860440View full group profile

Name	Specialty	State
LYNN E DOLAN (MD)	-	WI
IMAD M. AZIZ (MD)	-	WI
MRS. KATHERINE JOY HORTON (NP-C)	Nurse Practitioner	IL
DR. JAMES L KNAVEL (MD)	-	WI
DR. JUNG M RHEE (MD)	O P H T H A L M O L O G Y	IL
DR. TIMOTHY S REID (MD)	-	WI
DR. RANDY S WITTMAN (MD)	-	IL
DR. DAVID E PITTENGER (MD)	-	WI
ERNEST A CONTI (MD)	Diagnostic Radiology	IL
KATHERINE A GALIAS (APRN)	Nurse Practitioner	IL