SARA JEAN ANDERSEN
NPI 1619706173
Nurse Practitioner in Los Alamos, NM

Active since July 31, 2024PECOS EnrolledAccepts Medicare Assignment
3917 WEST RD STE A, LOS ALAMOS, NM 87544(505) 661-8964 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2024, Jul 31, 2024 (2 updates tracked since 2024).

About Sara Jean Andersen NPPES

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

SARA JEAN ANDERSEN (NPI 1619706173) is an individual nurse practitioner in Los Alamos, New Mexico, licensed in New Mexico (80408) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of Baylor College Of Medicine (2024).

NPPES Registry Identity

NPI1619706173
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSARA JEAN ANDERSEN
Location Address3917 WEST RD STE ALos Alamos, NM 87544-2292
Mailing Address2101 Holly AveEscondido, CA 92027-2213 · (805) 233-0296
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2024
Enumeration DateJuly 31, 2024
Last NPPES UpdateSeptember 6, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
NPI 1619706173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NM · 80408
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 80408 (NM), 95168073 (CA)
3917 WEST RD STE A, Los Alamos, NM 87544

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sara Jean Andersen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709318496
PECOS Enrollment IDI20241018003517
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Los Alamos Medical Center

Acute Care Hospitals · Los Alamos, NM
OwnershipProprietary
CMS Certification Number320033
Location3917 West RoadLos Alamos, NM 87544 · Los Alamos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87544 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 20

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

Physician Assistant (Medical)
3917 WEST RD STE A
LOS ALAMOS, NM 87544
General Practice
3917 WEST RD STE A
LOS ALAMOS, NM 87544
Family Medicine
3917 WEST RD STE A
LOS ALAMOS, NM 87544
Surgery
3917 WEST RD STE A
LOS ALAMOS, NM 87544
Nurse Practitioner
3917 WEST RD STE A
LOS ALAMOS, NM 87544
Physician Assistant (Medical)
3917 WEST RD STE A
LOS ALAMOS, NM 87544
Physician Assistant (Medical)
3917 WEST RD STE A
LOS ALAMOS, NM 87544
Internal Medicine
3917 WEST RD STE A
LOS ALAMOS, NM 87544

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 Andersen's NPI number?

The NPI number for Sara Andersen is 1619706173. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Sara Andersen located?

Sara Andersen practices at 3917 West Rd Ste A, Los Alamos, NM 87544. The listed phone number is (505) 661-8964.

What is Sara Andersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sara Andersen enrolled in Medicare?

Yes. Sara Andersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sara Andersen affiliated with any hospitals?

According to CMS data, Sara Andersen is affiliated with Christus St Vincent Regional Medical Center and Los Alamos Medical Center.

When was this NPI record last updated?

The NPPES record for Sara Andersen was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.