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

Q: What is Sarah Vaillancourt's NPI number?

The NPI number for Sarah Vaillancourt is 1558872291. It was assigned to this individual provider in the NPPES registry on October 20, 2017.

Q: What is Sarah Vaillancourt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

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: August 16, 2026.

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

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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.

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

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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.

Other Providers at the Same Location NPPES 13

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

MICHAEL STEVEN DAVIS M.D.

Internal Medicine (Pulmonary Disease)

200 COTTAGE AVE, STE 203
MANTECA, CA 95336

San Joaquin County (209) 825-5864

VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC

Urology

200 COTTAGE AVE, STE 101
MANTECA, CA 95336

San Joaquin County (209) 239-2197

MR. PEDRO GAMA GUZMAN RD

Dietitian, Registered

200 COTTAGE AVE
MANTECA, CA 95336

San Joaquin County (209) 624-5800

MR. MICHAEL D HEVOR MD

Psychiatry & Neurology (Neurology)

200 COTTAGE AVE, STE 200
MANTECA, CA 95336

San Joaquin County (209) 832-3332

CENTRAL VALLEY EYE MEDICAL GROUP INC.

Eyewear Supplier

200 COTTAGE AVE, STE 102
MANTECA, CA 95336

San Joaquin County (209) 239-5303

DR. RUSSELL P CARTER JR. MD

Internal Medicine

200 COTTAGE AVE, SUITE 201
MANTECA, CA 95336

San Joaquin County (209) 239-4554

GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.

Urology

200 COTTAGE AVE, SUITE 101
MANTECA, CA 95336

San Joaquin County (209) 577-3388

PRABHJIT S. PUREWAL, MD, INC

Specialist

200 COTTAGE AVE, STE 201
MANTECA, CA 95336

San Joaquin County (209) 477-2000

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 Vaillancourt's NPI number?

The NPI number for Sarah Vaillancourt is 1558872291. It was assigned to this individual provider in the NPPES registry on October 20, 2017.

Where is Sarah Vaillancourt located?

Sarah Vaillancourt practices at 200 Cottage Ave, Manteca, CA 95336. The listed phone number is (209) 624-5800.

What is Sarah Vaillancourt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Sarah Vaillancourt enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sarah Vaillancourt was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.