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SARAH MARY PETTYJOHN FNP-C
NPI 1407668734
Nurse Practitioner - Family in Andrews, TX

Active since January 23, 2025PECOS EnrolledAccepts Medicare Assignment
616 NORTH MAIN STREET, ANDREWS, TX 79714(432) 755-5755 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sarah Mary Pettyjohn Fnp-c NPPES

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

SARAH MARY PETTYJOHN FNP-C (NPI 1407668734) is an individual family provider in Andrews, Texas, licensed in Texas (1078809) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407668734
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARAH MARY PETTYJOHNCredential: FNP-C
Location Address616 NORTH MAIN STREETAndrews, TX 79714
Mailing Address4705 Briarwood AvenueMidland, TX 79707-2639 · (432) 505-4145 · Fax (833) 941-0864
Phone(432) 755-5755
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 23, 2025
Last NPPES UpdateMarch 12, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1407668734 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 TX · 1078809
616 NORTH MAIN STREET, Andrews, TX 79714
Open in Google Maps ↗

Secondary Practice Locations 5

Location 15514 N Big Spring StreetMidland, TX 79705-2697 · Phone (432) 316-2441 · Fax (833) 428-1421
Location 26301 Andrews HwyMidland, TX 79706-3147 · Phone (432) 505-4147 · Fax (833) 449-4803
Location 36950 Eastridge RoadOdessa, TX 79765-8971 · Phone (432) 505-4145 · Fax (833) 941-0862
Location 44705 Briarwood AvenueMidland, TX 79707-2639 · Phone (432) 505-4145 · Fax (833) 941-0864
Location 53490 East Yukon RdOdessa, TX 79762-2010 · Phone (432) 520-4086 · Fax (833) 972-5449

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

Sarah Mary Pettyjohn Fnp-c 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 ID1951822410
PECOS Enrollment IDI20250312004130
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 79714 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Sarah Pettyjohn's NPI number?

The NPI number for Sarah Pettyjohn is 1407668734. It was assigned to this individual provider in the NPPES registry on January 23, 2025.

Where is Sarah Pettyjohn located?

Sarah Pettyjohn practices at 616 North Main Street, Andrews, TX 79714. The listed phone number is (432) 755-5755.

What is Sarah Pettyjohn's specialty?

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

Is Sarah Pettyjohn enrolled in Medicare?

Yes. Sarah Pettyjohn 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 Sarah Pettyjohn was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.