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SARAH GRIFFITHS
NPI 1023559937
Nurse Practitioner in Modesto, CA

Active since March 10, 2017PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
1801 TULLY RD STE F, MODESTO, CA 95350(209) 722-4842(877) 435-6573 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2025, Dec 2, 2024, Dec 14, 2021 and 1 more (4 updates tracked since 2020).

About Sarah Griffiths NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH GRIFFITHS (NPI 1023559937) is an individual nurse practitioner in Modesto, California, licensed in California (95012987) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Down East Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023559937
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSARAH GRIFFITHS
Location Address1801 TULLY RD STE FModesto, CA 95350-2931
Mailing Address365 Honeysuckle LnBlairsville, GA 30512-6043 · (678) 938-7841
Phone(209) 722-4842
Fax(877) 435-6573
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 10, 2017
Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1023559937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in CA · 95012987✔ Licensed in GA · RN228928✔ Licensed in NC · 108291
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1801 TULLY RD STE F, Modesto, CA 95350
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1183 Ledford St, SUITE BMurphy, NC 28906-6213 · Phone (828) 837-4712
Location 211 Hospital Way Ste ABlairsville, GA 30512-3144 · Phone (706) 745-4191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sarah Griffiths is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739458423
PECOS Enrollment IDI20241120001040
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Sarah Griffiths reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Golden Valley Health Center
Same address
Federally Qualified Health Center (FQHC)
1801 TULLY RD STE F1
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1699332247 (866) 682-4842
Central Valley Indian Health, Inc
88 mi
Clinic/Center
32938 ROAD 222, SUITE 2
North Fork, CA 93643
  • Reassigned Medicare billing, California enrollment
  • 38 clinicians in this Medicare group
NPI 1932329091 (559) 299-4264
Sea Mar Community Health Centers
552 mi
Federally Qualified Health Center (FQHC)
19005 SE 34TH ST BLDG 3
Vancouver, WA 98683
  • Reassigned Medicare billing, Washington enrollment
  • 525 clinicians in this Medicare group
NPI 1770933640 (360) 726-6720
Union County Hospital Authority
2,064 mi
General Acute Care Hospital
35 HOSPITAL RD
Blairsville, GA 30512
  • Reassigned Medicare billing, Georgia enrollment
  • 95 clinicians in this Medicare group
NPI 1487684122 (706) 745-2111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Down East Community Hospital

Critical Access Hospitals · Machias, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201311
Location11 Hospital DriveMachias, ME 04654 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,552 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
56%212 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%111 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
84%601 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%601 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
10%601 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
27%601 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REPRODUCTIVE HEALTH CARE CENTER
Clinic/Center
1801 TULLY RD STE F
MODESTO, CA 95350
Stanislaus County (209) 526-5770
REPRDUCTIVE HEALTH CARE CENTER
Health Maintenance Organization
1801 TULLY RD STE F
MODESTO, CA 95350
Stanislaus County (209) 526-5770

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 Sarah Griffiths's NPI number?

The NPI number for Sarah Griffiths is 1023559937. It was assigned to this individual provider in the NPPES registry on March 10, 2017.

Where is Sarah Griffiths located?

Sarah Griffiths practices at 1801 Tully Rd Ste F, Modesto, CA 95350. The listed phone number is (209) 722-4842.

What is Sarah Griffiths's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sarah Griffiths enrolled in Medicare?

Yes. Sarah Griffiths is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sarah Griffiths's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Griffiths reassigns Medicare benefits to 4 organizations: Golden Valley Health Center (Modesto, CA), Central Valley Indian Health, Inc (North Fork, CA), Sea Mar Community Health Centers (Vancouver, WA) and Union County Hospital Authority (Blairsville, GA). Each 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 Sarah Griffiths's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Griffiths accept?

Health plans from Cigna Healthcare list Sarah Griffiths as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sarah Griffiths affiliated with any hospitals?

According to CMS data, Sarah Griffiths is affiliated with Down East Community Hospital.

When was this NPI record last updated?

The NPPES record for Sarah Griffiths was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.