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SARAH BETH WILLS PA-C
NPI 1710372784
Physician Assistant - Medical in Salt Lake City, UT

Active since April 06, 2015PECOS Enrolled
500 FOOT DRIVE, SALT LAKE CITY, UT 84148(801) 582-1565 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 17, 2018, Nov 15, 2017 (2 updates tracked since 2017).

About Sarah Beth Wills Pa-c NPPES

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

SARAH BETH WILLS PA-C (NPI 1710372784) is an individual medical provider in Salt Lake City, Utah, licensed in Utah (97369331206) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1710372784
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSARAH BETH WILLSCredential: PA-C
Location Address500 FOOT DRIVESalt Lake City, UT 84148-4004
Mailing Address500 Foothill DrSalt Lake City, UT 84148-0001 · (801) 582-1565
Phone(801) 582-1565
Sole ProprietorNo
Enumeration DateApril 6, 2015
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1710372784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in UT · 97369331206
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 7538 (GA)
500 FOOT DRIVE, Salt Lake City, UT 84148
Open in Google Maps ↗

Secondary Practice Location 1

Location 11670 Clairmont Rd, Education Service Line, Mail Stop Code VLC-141Decatur, GA 30033-4004 · Phone (404) 321-6111 ext. 1167

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Beth Wills Pa-c 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.

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 Wills's NPI number?

The NPI number for Sarah Wills is 1710372784. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Sarah Wills located?

Sarah Wills practices at 500 Foot Drive, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.

What is Sarah Wills's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sarah Wills enrolled in Medicare?

Yes. Sarah Wills is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sarah Wills was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.