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SARAH OBLACK
NPI 1255146262
Nurse Practitioner - Family in Montgomery, AL

Active since February 08, 2025PECOS Enrolled
770 WASHINGTON AVE, MONTGOMERY, AL 36104(334) 293-5200 Get Directions Write a Review

NPPES record last updated: February 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sarah Oblack NPPES

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

SARAH OBLACK (NPI 1255146262) is an individual family provider in Montgomery, Alabama, licensed in Alabama (3-002177) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1255146262
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARAH OBLACK
Location Address770 WASHINGTON AVEMontgomery, AL 36104-3819
Mailing Address2140 Vizcaya DrNavarre, FL 32566-7545 · (970) 584-9154
Phone(334) 293-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 8, 2025
NPPES CertifiedFebruary 8, 2025
✔ NPI 1255146262 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 AL · 3-002177
770 WASHINGTON AVE, Montgomery, AL 36104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Oblack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628573714
PECOS Enrollment IDI20250929001162
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

2

Medicare enrollment records show Sarah Oblack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Extended Care Medical Associates LLC
94 mi
Family Medicine
256 HONEYSUCKLE RD STE 20
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 6 clinicians in this Medicare group
NPI 1902182371 (334) 699-3320
Signify Health, LLC
616 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Alabama enrollment
  • 456 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 36104 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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

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

ALABAMA DEPARTMENT OF SENIOR SERVICES
Home Health
770 WASHINGTON AVE, RSA PLAZA SUITE 570
MONTGOMERY, AL 36104
Montgomery County (334) 242-5743

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 Oblack's NPI number?

The NPI number for Sarah Oblack is 1255146262. It was assigned to this individual provider in the NPPES registry on February 8, 2025.

Where is Sarah Oblack located?

Sarah Oblack practices at 770 Washington Ave, Montgomery, AL 36104. The listed phone number is (334) 293-5200.

What is Sarah Oblack's specialty?

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

Is Sarah Oblack enrolled in Medicare?

Yes. Sarah Oblack is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sarah Oblack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Oblack reassigns Medicare benefits to 2 organizations: Extended Care Medical Associates LLC (Dothan, AL) and Signify Health, LLC (Dallas, TX). 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 Oblack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sarah Oblack was last updated on February 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.