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

Q: 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.

Q: What is Sara Jumping Eagle's specialty?

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

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: August 09, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.