SARA JESSANNE LARK FNP
NPI 1013545110
Nurse Practitioner - Family in Raton, NM
About Sara Jessanne Lark Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA JESSANNE LARK FNP (NPI 1013545110) is an individual family provider in Raton, New Mexico, licensed in New Mexico (59889) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sara Jessanne Lark Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sara Lark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raton, NM 87740
- Reassigned Medicare billing, New Mexico enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RATON, NM 87740
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sara Lark's NPI number?
The NPI number for Sara Lark is 1013545110. It was assigned to this individual provider in the NPPES registry on April 1, 2020.
Where is Sara Lark located?
Sara Lark practices at 203 Hospital Dr, Raton, NM 87740. The listed phone number is (575) 445-7771.
What is Sara Lark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sara Lark enrolled in Medicare?
Yes. Sara Lark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sara Lark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sara Lark reassigns Medicare benefits to Miners Colfax Medical Center (Raton, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Lark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sara Lark was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sara Jessanne Lark, FNP · NPI 1013545110
Family physician in Raton, New Mexico. Individual provider, active in the CMS NPPES registry since April 1, 2020.
## Identity
- **NPI:** 1013545110 (Entity type: Individual)
- **Enumerated:** April 1, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 59889 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 203 HOSPITAL DR, Raton, NM 87740-2012
- **Phone:** (575) 445-7771 · **Fax:** (575) 445-7742
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Miners Colfax Medical Center (NPI 1083931109, Raton, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1013545110) · Data from the CMS NPPES public registry.