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SARA L NICELY PA-C
NPI 1598751109
Physician Assistant - Medical in Roanoke, VA

Active since September 20, 2005PECOS Enrolled
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 981-7000 Get Directions Write a Review

NPPES record last updated: May 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sara L Nicely Pa-c NPPES

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

SARA L NICELY PA-C (NPI 1598751109) is an individual medical provider in Roanoke, Virginia, licensed in Virginia (0110002022) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598751109
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSARA L NICELYCredential: PA-C
Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838
Mailing Address1906 Belleview Ave SeRoanoke, VA 24014-1838 · (540) 981-7000
Phone(540) 981-7000
Sole ProprietorNo
Enumeration DateSeptember 20, 2005
Last NPPES UpdateMay 13, 2011
✔ NPI 1598751109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110002022
1906 BELLEVIEW AVE SE, Roanoke, VA 24014
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Other Identifiers 5

Medicare ID-Type Unspecified007303L12VA
Medicare PIN017242W10VA
Medicare UPINP90590VA
Other020002600VA · Federal Black Lung
Medicare PINP00615960VA

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 L Nicely Pa-c 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.

Other Providers at the Same Location NPPES 20

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

JOHN K THOMPSON PA-C, ATC
Physician Assistant
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. JAMES LIGHT MD
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
SUJINA PRADHAN M.D.
Family Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
DR. SAMMY ZAKI ELSARRAG M.D.
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NIMA JAHROMI DO
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NICOLE SCHULTZ
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
TAYLOR ALEXIS KEYS
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000
NATHAN WILLIAM WAKEFIELD
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Roanoke City (540) 981-7000

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 Nicely's NPI number?

The NPI number for Sara Nicely is 1598751109. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Sara Nicely located?

Sara Nicely practices at 1906 Belleview Ave SE, Roanoke, VA 24014. The listed phone number is (540) 981-7000.

What is Sara Nicely's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sara Nicely enrolled in Medicare?

Yes. Sara Nicely is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sara Nicely was last updated on May 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.