MS. SARAH NICOLE LIDDELL (PA-C) – Physician Assistant, NPI 1962653089

MS. SARAH NICOLE LIDDELL (PA-C) is a healthcare provider. based in Tomah, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2346-023 (WI). The NPI Number for MS. SARAH NICOLE LIDDELL (PA-C) is 1962653089

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MS. SARAH NICOLE LIDDELL (PA-C)
NPI
1962653089
Phone
(608) 372-2181
Address
501 GOPHER DR
Enumeration Date
7 October 2008
Last Update Date
14 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524315330
Graduation Year
2008 (18 years ago)
PAC ID
4587791421
Group Practice PAC ID
6305934597
Professional Enrollment ID
I20100423000554
Address ID
WI547017727EA4106XPKWY400
Telehealth
Yes

Contacts

Secure Messaging
sliddell18968@direct.monroeclinic.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for MS. SARAH NICOLE LIDDELL (PA-C)

  • 501 GOPHER DR

    TOMAH, WI 546604513

    Phone: (608) 372-2181

    Type: Mailing

  • Mayo Clinic Health System- Chippewa Valley, 1501, Thompson Street, Bloomer, Chippewa County, Wisconsin, 54724, United States

    BLOOMER, WI 547241257

    Phone: (715) 568-2000

    Type: Mailing

  • Mayo Clinic Health System – Clairemont Campus Clinic, 733, West Clairemont Avenue, Lower Campus, Upper Campus, Eau Claire, Eau Claire County, Wisconsin, 54701, United States

    EAU CLAIRE, WI 547016101

    Phone: (715) 838-5222

    Type: Location

  • 900 W Clairemont Ave

    Eau Claire, WI 547016122

    Phone: (715) 717-4121

    Type: Location

  • 2661 County Highway I

    Chippewa Falls, WI 547295407

    Phone: (715) 723-1811

    Type: Location

  • 733 W Clairemont Ave

    Eau Claire, WI 547016101

    Phone: (715) 838-5222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-03-08 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($17).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-03-12

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
I20100423000554IPhysician AssistantWITBD
I20250312000429IPhysician AssistantMNTBD

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
80305Testing for presence of drug, read by direct observation7613$0
99214Established patient office or other outpatient visit, 30-39 minutes5811$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3119$0
View full utilization report →

Insurance plans in this area (ZIP 54660)

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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: 6305934597View full group profile
NameSpecialtyState
Nurse PractitionerMN
Clinical PsychologistIL
P S Y C H I A T R YMN
P S Y C H I A T R YMN
Mental Health CounselorMN
Nurse PractitionerMN
Nurse PractitionerWI
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)WI
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

Is there an official ID for MS. SARAH NICOLE LIDDELL (PA-C) in U.S. healthcare records?
The official identifier for MS. SARAH NICOLE LIDDELL (PA-C) is NPI 1962653089.
Is MS. SARAH NICOLE LIDDELL (PA-C) still an active registrant?
MS. SARAH NICOLE LIDDELL (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is MS. SARAH NICOLE LIDDELL (PA-C)?
MS. SARAH NICOLE LIDDELL (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MS. SARAH NICOLE LIDDELL (PA-C) located near Tomah?
MS. SARAH NICOLE LIDDELL (PA-C) currently maps to Tomah, Wisconsin in this extract.
Can I trust this NPI listing for MS. SARAH NICOLE LIDDELL (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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