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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SARAH M GAY PNP-BC
NPI 1225205206
Nurse Practitioner - Pediatrics in Providence, RI

Active since May 09, 2008PECOS Enrolled
1 HOPPIN ST STE 304, PROVIDENCE, RI 02903(401) 444-4612(401) 793-8831 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 23, 2026, Mar 17, 2025, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Sarah M Gay Pnp-bc NPPES

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

SARAH M GAY PNP-BC (NPI 1225205206) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (APRN00112) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1225205206
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSARAH M GAYCredential: PNP-BC
Location Address1 HOPPIN ST STE 304Providence, RI 02903-4141
Mailing Address1 Hoppin St Ste 304Providence, RI 02903-4141 · (401) 444-4612 · Fax (401) 793-8831
Phone(401) 444-4612
Fax(401) 793-8831
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 9, 2008
Last NPPES UpdateOctober 20, 20264 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1225205206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in RI · APRN00112✔ Licensed in MA · 258755
1 HOPPIN ST STE 304, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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 M Gay Pnp-bc 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 ID6103062583
PECOS Enrollment IDI20170810000324
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 Sarah Gay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rhode Island Hospital
0.6 mi
Pediatrics
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 265 clinicians in this Medicare group
NPI 1861420333 (401) 444-6195

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 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Other Providers at the Same Location NPPES 4

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

JONATHAN DAVID NYCE MD
Pediatrics (Pediatric Cardiology)
1 HOPPIN ST STE 304
PROVIDENCE, RI 02903
Providence County (401) 444-4612
DR. JAMES WILLIAM ZIEGLER M.D.
Pediatrics (Pediatric Cardiology)
1 HOPPIN ST STE 304
PROVIDENCE, RI 02903
Providence County (401) 444-4612
DR. THOMAS J SEERY MD
Pediatrics (Pediatric Cardiology)
1 HOPPIN ST STE 304
PROVIDENCE, RI 02903
Providence County (401) 444-4612
ODESSA HOLT MSW
Social Worker (Clinical)
1 HOPPIN ST STE 304
PROVIDENCE, RI 02903
Providence County (401) 444-3674

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 Gay's NPI number?

The NPI number for Sarah Gay is 1225205206. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Sarah Gay located?

Sarah Gay practices at 1 Hoppin St Ste 304, Providence, RI 02903. The listed phone number is (401) 444-4612.

What is Sarah Gay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Sarah Gay enrolled in Medicare?

Yes. Sarah Gay 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 organization bills Medicare for Sarah Gay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Gay reassigns Medicare benefits to Rhode Island Hospital (Providence, RI). 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 Sarah Gay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Gay accept?

Health plans from Taro Health list Sarah Gay 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.

When was this NPI record last updated?

The NPPES record for Sarah Gay was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.