SARA WILSON
NPI 1689298085
Nurse Practitioner - Family in West Jordan, UT

Active since June 01, 2020PECOS Enrolled
7777 S REDWOOD RD, WEST JORDAN, UT 84084(801) 966-1118 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2021, Jun 7, 2021, Jun 1, 2020 (3 updates tracked since 2020).

About Sara Wilson NPPES

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

SARA WILSON (NPI 1689298085) is an individual family provider in West Jordan, Utah, licensed in Utah (8546685-4405) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689298085
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARA WILSON
Location Address7777 S REDWOOD RDWest Jordan, UT 84084-5518
Mailing Address1035 E Mansfield AveSalt Lake City, UT 84106-2123 · (801) 734-0421
Sole ProprietorYes
Enumeration DateJune 1, 2020
Last NPPES UpdateJuly 13, 20213 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1689298085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 8546685-4405
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 8546685-3102 (UT)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 8546685-4405 (UT)
7777 S REDWOOD RD, West Jordan, UT 84084

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Wilson 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.

Medicare Billing Reassignment

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

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Utah enrollment
  • 145 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84084 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 6

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

Nurse Practitioner (Family)
7777 S REDWOOD RD
WEST JORDAN, UT 84084
Nurse Practitioner (Family)
7777 S REDWOOD RD
WEST JORDAN, UT 84084
Pharmacist
7777 S REDWOOD RD
WEST JORDAN, UT 84084
Nurse Practitioner (Family)
7777 S REDWOOD RD
WEST JORDAN, UT 84084
Pharmacist
7777 S REDWOOD RD
WEST JORDAN, UT 84084
Social Worker (Clinical)
7777 S REDWOOD RD
WEST JORDAN, UT 84084

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 Wilson's NPI number?

The NPI number for Sara Wilson is 1689298085. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Sara Wilson located?

Sara Wilson practices at 7777 S Redwood Rd, West Jordan, UT 84084. The listed phone number is (801) 966-1118.

What is Sara Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sara Wilson enrolled in Medicare?

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

Which organization bills Medicare for Sara Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Wilson reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Sara Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sara Wilson was last updated on July 13, 2021. 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.