1. Home
  2. Directory
  3. Pennsylvania
  4. Bloomsburg
  5. Physician Assistant
  6. NPI Profile

SARAH ROSE GRAHAM PA-C
NPI 1902623960
Physician Assistant - Medical in Bloomsburg, PA

Active since September 23, 2024PECOS EnrolledAccepts Medicare Assignment
240 MALL BLVD, BLOOMSBURG, PA 17815(570) 784-8303(570) 387-5030 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Sep 23, 2024 (2 updates tracked since 2024).

About Sarah Rose Graham Pa-c NPPES

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

SARAH ROSE GRAHAM PA-C (NPI 1902623960) is an individual medical provider in Bloomsburg, Pennsylvania, licensed in Pennsylvania (OA007022) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902623960
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSARAH ROSE GRAHAMCredential: PA-C
Location Address240 MALL BLVDBloomsburg, PA 17815-8306
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 784-8303 · Fax (570) 387-5030
Phone(570) 784-8303
Fax(570) 387-5030
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 23, 2024
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1902623960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · OA007022

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

Sarah Rose Graham Pa-c 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 ID9830624998
PECOS Enrollment IDI20241126001625
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.

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. SIOBHAN BROSS STOLTZFUS CRNP, AANP
Nurse Practitioner
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 416-8200
MEGAN SOKOL
Pharmacist
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (866) 248-1980
GEISINGER CLINIC
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 416-8250
MR. TIMOTHY JAMES DENNEN M.D.
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 416-5435
DR. DENNIS M. SHEEHE M.D.
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303
MALLORY DAMERON
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303
CYNTHIA CICCOTELLI MD
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303
DR. JOHN PACHECO MD
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303

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 Graham's NPI number?

The NPI number for Sarah Graham is 1902623960. It was assigned to this individual provider in the NPPES registry on September 23, 2024.

Where is Sarah Graham located?

Sarah Graham practices at 240 Mall Blvd, Bloomsburg, PA 17815. The listed phone number is (570) 784-8303.

What is Sarah Graham's specialty?

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

Is Sarah Graham enrolled in Medicare?

Yes. Sarah Graham 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.

When was this NPI record last updated?

The NPPES record for Sarah Graham was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.