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SARA JUANITA JUMPING EAGLE M.D.
NPI 1508865007
Pediatrics - Adolescent Medicine in Ft. Yates, ND

Active since July 18, 2005PECOS Enrolled
10 N. RIVER RD., FORT YATES IHS HOSPITAL/CLINIC, FT. YATES, ND 58538(701) 854-3831(701) 854-7399 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sara Juanita Jumping Eagle M.d. NPPES

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

SARA JUANITA JUMPING EAGLE M.D. (NPI 1508865007) is an individual adolescent medicine provider in Ft. Yates, North Dakota, licensed in North Dakota (11019) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508865007
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameSARA JUANITA JUMPING EAGLECredential: M.D.
Location Address10 N. RIVER RD., FORT YATES IHS HOSPITAL/CLINICFt. Yates, ND 58538
Mailing Address10 North River RoadFort Yates, ND 58538 · (701) 854-3831 · Fax (701) 854-7399
Phone(701) 854-3831
Fax(701) 854-7399
Sole ProprietorNo
Enumeration DateJuly 18, 2005
Last NPPES UpdateDecember 3, 2014
✔ NPI 1508865007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in ND · 11019
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
10 N. RIVER RD., Ft. Yates, ND 58538
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Other Identifiers 1

Medicaid15044ND

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Juanita Jumping Eagle M.d. 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 Reassignments

3

Medicare enrollment records show Sara Jumping Eagle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fort Yates Indian Health Service Hospital
7.0 mi
Critical Access
10 NORTH RIVER ROAD
Fort Yates, ND 58538
  • Reassigned Medicare billing, Texas enrollment
  • 71 clinicians in this Medicare group
NPI 1609851039 (701) 854-3831
Pine Ridge Indian Health Service Hospital
199 mi
Clinic/Center
1000 HEALTH CENTER RD
Kyle, SD 57752
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
NPI 1003963497 (605) 455-2451
Pine Ridge Indian Health Service Hospital
209 mi
Clinic/Center
119 SOUTH 1ST AVENUE
Martin, SD 57551
  • Reassigned Medicare billing, Texas enrollment
  • 426 clinicians in this Medicare group
NPI 1003208257 (605) 685-2800

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

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 Sara Jumping Eagle's NPI number?

The NPI number for Sara Jumping Eagle is 1508865007. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Sara Jumping Eagle located?

Sara Jumping Eagle practices at 10 N. River Rd. Fort Yates Ihs Hospital/Clinic, Ft. Yates, ND 58538. The listed phone number is (701) 854-3831.

What is Sara Jumping Eagle's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Sara Jumping Eagle enrolled in Medicare?

Yes. Sara Jumping Eagle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sara Jumping Eagle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Jumping Eagle reassigns Medicare benefits to 3 organizations: Fort Yates Indian Health Service Hospital (Fort Yates, ND), Pine Ridge Indian Health Service Hospital (Kyle, SD) and Pine Ridge Indian Health Service Hospital (Martin, SD). 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 Sara Jumping Eagle'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 Sara Jumping Eagle was last updated on December 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.