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

Q: 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.

Q: What is Sara Wilson's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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

Phone(801) 966-1118

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

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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 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.

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.

RENEL B RYTTING APRN

Nurse Practitioner (Family)