SARA DEATHERAGE FNP-C
NPI 1104374693
Nurse Practitioner - Family in Virginia Beach, VA

Q: What is Sara Deatherage's NPI number?

The NPI number for Sara Deatherage is 1104374693. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Q: What is Sara Deatherage's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sara Deatherage was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 14, 2016PECOS Enrolled

236 CLEARFIELD AVE STE 215, VIRGINIA BEACH, VA 23462(757) 853-1380 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2019, Sep 14, 2016 (2 updates tracked since 2016).

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About Sara Deatherage Fnp-c NPPES

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

SARA DEATHERAGE FNP-C (NPI 1104374693) is an individual family provider in Virginia Beach, Virginia, licensed in Virginia (0024177684) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Virginia Beach.

NPPES Registry Identity

NPI1104374693

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSARA DEATHERAGECredential: FNP-C

Location Address236 CLEARFIELD AVE STE 215Virginia Beach, VA 23462-1893

Mailing AddressPo Box 639295 Dept 93394Cincinnati, OH 45263-9295 · (248) 266-4200

Phone(757) 853-1380

Sole ProprietorNo

Enumeration DateSeptember 14, 2016

Last NPPES UpdateFebruary 21, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2024

✔ NPI 1104374693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024177684

Also ListedRegistered NurseTaxonomy 163W00000X · License 819106 (CA)

236 CLEARFIELD AVE STE 215, Virginia Beach, VA 23462

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Secondary Practice Location 1

Location 1940 General Booth BlvdVirginia Beach, VA 23451-4861 · Phone (757) 425-3610

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Deatherage Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sara Deatherage reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vpa PC

1.3 mi

Family Medicine

293 INDEPENDENCE BLVD. PEMBROKE 5 BLDG STE 415
Virginia Beach, VA 23452

Reassigned Medicare billing, Virginia enrollment
91 clinicians in this Medicare group

NPI 1942531769 (757) 853-1380

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

320 services182 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

253 services165 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

77 services66 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

72 services42 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

46 services33 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23462 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers24 claims69 services$6.25 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers11 claims16 services$1.14 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

ANNA FIELDS NP-C

Nurse Practitioner (Family)