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MRS. SARAH MONTGOMERY PRUDHON RN
NPI 1922524073
Nurse Anesthetist, Certified Registered in Memphis, TN

Active since August 21, 2017Accepts Medicare Assignment
50 N DUNLAP ST FL 2, MEMPHIS, TN 38103(901) 287-6060(901) 287-5102 Get Directions Write a Review

NPPES record last updated: August 21, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Sarah Montgomery Prudhon Rn NPPES

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

MRS. SARAH MONTGOMERY PRUDHON RN (NPI 1922524073) is an individual nurse anesthetist, certified registered in Memphis, Tennessee, licensed in Tennessee (22955) and active in the NPI registry since August 2017. She is a graduate of University Of Tennessee, Hsc, College Of Medicine (2017).

NPPES Registry Identity

NPI1922524073
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. SARAH MONTGOMERY PRUDHONCredential: RN
Location Address50 N DUNLAP ST FL 2Memphis, TN 38103-2800
Mailing Address50 N Dunlap St Fl 2Memphis, TN 38103-2800 · (901) 287-6060 · Fax (901) 287-5102
Phone(901) 287-6060
Fax(901) 287-5102
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2017
Enumeration DateAugust 21, 2017
✔ NPI 1922524073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TN · 22955
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
50 N DUNLAP ST FL 2, Memphis, TN 38103
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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

Mrs. Sarah Montgomery Prudhon Rn 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 ID8921373796
PECOS Enrollment IDI20171004000949

Medicare Billing Reassignments

2

Medicare enrollment records show Sarah Prudhon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Anesthesiologists P A
Same address
Anesthesiology
50 N DUNLAP ST
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 50 clinicians in this Medicare group
NPI 1720087802 (901) 572-3060
Ut Lebonheur Pediatric Specialists, Inc.
Same address
Pediatrics
848 ADAMS AVE.
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 582 clinicians in this Medicare group
NPI 1093024101 (901) 287-7337

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 38103 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 2

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

NICOLE RIVERA
Nurse Anesthetist, Certified Registered
50 N DUNLAP ST FL 2
MEMPHIS, TN 38103
Shelby County (901) 287-6060
MRS. ABIGAIL JOSEPHINE SCOTT CRNA
Nurse Anesthetist, Certified Registered
50 N DUNLAP ST FL 2
MEMPHIS, TN 38103
Shelby County (901) 287-5437

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 Prudhon's NPI number?

The NPI number for Sarah Prudhon is 1922524073. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Sarah Prudhon located?

Sarah Prudhon practices at 50 N Dunlap St Fl 2, Memphis, TN 38103. The listed phone number is (901) 287-6060.

What is Sarah Prudhon's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Sarah Prudhon enrolled in Medicare?

Yes. Sarah Prudhon 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 organizations bill Medicare for Sarah Prudhon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Prudhon reassigns Medicare benefits to 2 organizations: Pediatric Anesthesiologists P A (Memphis, TN) and Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). Each 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 Prudhon'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 Sarah Prudhon was last updated on August 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.