SARA E VANN (P.A.) – Surgical Physician Assistant, NPI 1780910653
Surgical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SARA E VANN (P.A.)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 727620845
Phone: (479) 343-4853
Fax: (479) 725-6582
Type: Location
PO BOX 550
LOWELL, AR 727450550
Phone: (479) 463-7775
Fax: (479) 463-7187
Type: Mailing
3336 N. Futrall Drive
Fayetteville, AR 72703
Phone: (479) 463-3000
Fax: (479) 463-3050
Type: Location
PO BOX 251418
LITTLE ROCK, AR 722251418
Phone: (501) 364-1100
Fax: (501) 526-5148
Type: Mailing
Northwest Arkansas Neuroscience Institute, 3336, North Futrall Drive, North Hills Medical Park, Fayetteville, Washington County, Arkansas, 72703, United States
FAYETTEVILLE, AR 72703
Phone: (479) 463-3000
Fax: (479) 463-3050
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: 2016-05-19
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 |
|---|---|---|---|---|
| I20160519001874 | I | Physician Assistant | AR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72762)
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