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SARA ANN MCCUMBER
NPI 1619918406
Nurse Practitioner - Gerontology in Duluth, MN

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
400 E 3RD ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sara Ann Mccumber NPPES

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

SARA ANN MCCUMBER (NPI 1619918406) is an individual gerontology provider in Duluth, Minnesota, licensed in Minnesota (R092298-4) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1619918406
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSARA ANN MCCUMBER
Location Address400 E 3RD STDuluth, MN 55805-1951
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Phone(218) 786-8364
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 10, 2006
Last NPPES UpdateApril 29, 2011
✔ NPI 1619918406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MN · R092298-4
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R092298-4 (MN)
400 E 3RD ST, Duluth, MN 55805
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Other Identifiers 3

Medicare UPINP36691
Medicaid43947700WI
Medicaid956402100MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.Insurance ›

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 Ann Mccumber 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 ID3375532468
PECOS Enrollment IDI20040512000838, I20101208001090
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
64 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521359
Location1615 Maple LaneAshland, WI 54806 · Ashland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

CHRISTIAN CONNER RN, CRNA
Nurse Anesthetist, Certified Registered
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-4150
JORDAN TICHENOR
Internal Medicine (Infectious Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-3737
MOLLY B DWYER APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
AMY MARIE LARSON MD
Hospitalist
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
BRUCE JAMES DERAUF
Radiology (Diagnostic Radiology)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
NIZAR NAJIB SALEH
Internal Medicine (Cardiovascular Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
DIANE MAE KOLQUIST
Clinical Nurse Specialist (Medical-Surgical)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
GINA MARIE SLIPKA-MARINOS
Internal Medicine
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364

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 Mccumber's NPI number?

The NPI number for Sara Mccumber is 1619918406. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Sara Mccumber located?

Sara Mccumber practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Sara Mccumber's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Sara Mccumber enrolled in Medicare?

Yes. Sara Mccumber 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.

What insurance does Sara Mccumber accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Sara Mccumber as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sara Mccumber affiliated with any hospitals?

According to CMS data, Sara Mccumber is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, St Lukes Hospital, St Marys Hospital Superior and Tamarack Health Ashland Medical Center.

When was this NPI record last updated?

The NPPES record for Sara Mccumber was last updated on April 29, 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.