SARA MICHELLE KIDMAN
NPI 1083425250
Nurse Practitioner - Family in Sunnyvale, CA

Active since January 16, 2025PECOS EnrolledAccepts Medicare Assignment
201 OLD SAN FRANCISCO RD # LEVEL2, SUNNYVALE, CA 94086(408) 730-4256 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sara Michelle Kidman NPPES

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

SARA MICHELLE KIDMAN (NPI 1083425250) is an individual family provider in Sunnyvale, California, licensed in California (95030080) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083425250
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARA MICHELLE KIDMAN
Location Address201 OLD SAN FRANCISCO RD # LEVEL2Sunnyvale, CA 94086-6385
Mailing AddressPo Box 276950Sacramento, CA 95827-6950
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 16, 2025
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
NPI 1083425250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95030080
201 OLD SAN FRANCISCO RD # LEVEL2, Sunnyvale, CA 94086

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sara Michelle Kidman 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 ID1951822816
PECOS Enrollment IDI20250307000781
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94086 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

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 Kidman's NPI number?

The NPI number for Sara Kidman is 1083425250. It was assigned to this individual provider in the NPPES registry on January 16, 2025.

Where is Sara Kidman located?

Sara Kidman practices at 201 Old San Francisco Rd # Level2, Sunnyvale, CA 94086. The listed phone number is (408) 730-4256.

What is Sara Kidman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sara Kidman enrolled in Medicare?

Yes. Sara Kidman 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.

When was this NPI record last updated?

The NPPES record for Sara Kidman was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.