1. Home
  2. Directory
  3. North Carolina
  4. Cornelius
  5. Nurse Practitioner
  6. NPI Profile

SARAH SOROOSH VANDERGOOT FNP
NPI 1679037071
Nurse Practitioner in Cornelius, NC

Active since January 30, 2019PECOS EnrolledAccepts Medicare Assignment
19485 OLD JETTON RD STE 100, CORNELIUS, NC 28031(704) 384-1775 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 26, 2020, Jun 21, 2019, Jan 30, 2019 (3 updates tracked since 2019).

About Sarah Soroosh Vandergoot Fnp NPPES

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

SARAH SOROOSH VANDERGOOT FNP (NPI 1679037071) is an individual nurse practitioner in Cornelius, North Carolina, licensed in North Carolina (5011537) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679037071
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSARAH SOROOSH VANDERGOOTCredential: FNP
Location Address19485 OLD JETTON RD STE 100Cornelius, NC 28031-6583
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (844) 266-8268
Phone(704) 384-1775
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 30, 2019
Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2020
✔ NPI 1679037071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5011537
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.
19485 OLD JETTON RD STE 100, Cornelius, NC 28031
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sarah Soroosh Vandergoot Fnp 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 ID8123354644
PECOS Enrollment IDI20190722002549
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.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Vandergoot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC
Same address
Family Medicine
19485 OLD JETTON ROAD, SUITE 100
Cornelius, NC 28031
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1215179296 (North Carolina)
  • 2,998 clinicians in this Medicare group
NPI 1255709432 (704) 316-5170

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
147 services79 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
21 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340183
Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28031 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

DR. GERARDO PEREZ DO
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
DR. RACHEL ANNE LATTERICH DO
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
MICHAELA LYNNE ROBERTS MD
Family Medicine
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 384-1775
DEVON VARNEY DO
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
JYOTHI PRAVALLIKA EDUPUGANTI DO
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
JAMIE DYVIG CREWS
Student in an Organized Health Care Education/Training Program
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
DR. PUJA DALAL
Family Medicine
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 316-5170
NOVANT HEALTH MEDICAL GROUP, LLC
Family Medicine
19485 OLD JETTON RD STE 100
CORNELIUS, NC 28031
Mecklenburg County (704) 384-1775

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 Vandergoot's NPI number?

The NPI number for Sarah Vandergoot is 1679037071. It was assigned to this individual provider in the NPPES registry on January 30, 2019.

Where is Sarah Vandergoot located?

Sarah Vandergoot practices at 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031. The listed phone number is (704) 384-1775.

What is Sarah Vandergoot's specialty?

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

Is Sarah Vandergoot enrolled in Medicare?

Yes. Sarah Vandergoot 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.

Which organization bills Medicare for Sarah Vandergoot's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Vandergoot reassigns Medicare benefits to Novant Health Medical Group, LLC (Cornelius, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Vandergoot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Vandergoot accept?

Health plans from Blue Cross and Blue Shield of NC list Sarah Vandergoot 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 Sarah Vandergoot affiliated with any hospitals?

According to CMS data, Sarah Vandergoot is affiliated with Novant Health Presbyterian Medical Center and Novant Health Huntersville Medical Center.

When was this NPI record last updated?

The NPPES record for Sarah Vandergoot was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.