SARAH VAILLANCOURT WHNP
NPI 1558872291
Nurse Practitioner - Women's Health in Manteca, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LW0102X and a focus in Women's Health.

Active since October 20, 2017PECOS Enrolled

200 COTTAGE AVE, MANTECA, CA 95336(209) 624-5800(209) 762-6808 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2023, Jan 16, 2019, Oct 20, 2017 (3 updates tracked since 2017).

On this page

About Sarah Vaillancourt Whnp NPPES

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

SARAH VAILLANCOURT WHNP (NPI 1558872291) is an individual women's health provider in Manteca, California, licensed in California (95010894) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1558872291

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameSARAH VAILLANCOURTCredential: WHNP

Location Address200 COTTAGE AVEManteca, CA 95336-4935

Mailing Address5609 Antique Rose WayRiverbank, CA 95367-9594 · (603) 913-4238

Phone(209) 624-5800

Fax(209) 762-6808

Sole ProprietorNo

Enumeration DateOctober 20, 2017

Last NPPES UpdateMay 5, 20233 updates tracked since enumeration

NPPES CertifiedMay 5, 2023

✔ NPI 1558872291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in CA · 95010894

Also ListedRegistered NurseTaxonomy 163W00000X · License 201708786RN (OR)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

200 COTTAGE AVE, Manteca, CA 95336

Open in Google Maps ↗

Secondary Practice Location 1

Location 1461 21st Ave SNashville, TN 37240-1104 · Phone (615) 322-8876

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Vaillancourt Whnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95336 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.