JACQUELYN NOEL SARTORIUS PA-C
NPI 1134558000
Physician Assistant in South Lake Tahoe, CA

Active since November 01, 2013PECOS Enrolled
97.37/100
CMS Quality Rating
2201 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 543-5623(530) 541-5738 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacquelyn Noel Sartorius Pa-c NPPES

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

JACQUELYN NOEL SARTORIUS PA-C (NPI 1134558000) is an individual physician assistant in South Lake Tahoe, California, licensed in California (PA52669) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134558000
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELYN NOEL SARTORIUSCredential: PA-C
Location Address2201 SOUTH AVESouth Lake Tahoe, CA 96150-7025
Mailing Address1111 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207 · (530) 543-5659 · Fax (530) 541-8723
Fax(530) 541-5738
Sole ProprietorNo
Enumeration DateNovember 1, 2013
Last NPPES UpdateAugust 27, 2015
NPI 1134558000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA52669
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2201 SOUTH AVE, South Lake Tahoe, CA 96150

Other Names 1

Former Name (1)Jacquelyn Noel Harris

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacquelyn Noel Sartorius Pa-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.

Areas of Expertise CMS Part B claims 3

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
175 services168 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
66 services66 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96150 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
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.

97.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost91.25

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Clinic/Center (Rural Health)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Family Medicine
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Nurse Practitioner (Primary Care)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physician Assistant
2201 SOUTH AVE, STE B
SOUTH LAKE TAHOE, CA 96150
Family Medicine
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Physician Assistant
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
Clinic/Center (Rural Health)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150

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 Jacquelyn Sartorius's NPI number?

The NPI number for Jacquelyn Sartorius is 1134558000. It was assigned to this individual provider in the NPPES registry on November 1, 2013. The provider is also known as Jacquelyn Noel Harris.

Where is Jacquelyn Sartorius located?

Jacquelyn Sartorius practices at 2201 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 543-5623.

What is Jacquelyn Sartorius's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacquelyn Sartorius enrolled in Medicare?

Yes. Jacquelyn Sartorius is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyn Sartorius was last updated on August 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.