SARA HENDERSON
NPI 1427863745
Physician Assistant - Medical in Nixa, MO

NPI Status: Active since February 12, 2025

Contact Information

501 N OLD WILDERNESS RD
NIXA, MO
ZIP 65714
Phone: (417) 269-2227

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  • Individual
  • Female
  • Years of Experience 2
  • Physician Assistant
  • Medical
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About SARA HENDERSON

This page provides the complete NPI Profile along with additional information for Sara Henderson, a primary care provider established in Nixa, Missouri with a medical specialization in Physician Assistant, focusing in medical and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1427863745 assigned on February 2025. The practitioner's primary taxonomy code is 363AM0700X with license number 2025004776 (MO). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1427863745
Provider Name
SARA HENDERSON
Gender
Female
Entity Type
Individual
Location Address
501 N OLD WILDERNESS RD NIXA, MO 65714
Location Phone
(417) 269-2227
Mailing Address
2273 W ARLINGTON ST SPRINGFIELD, MO 65810
Mailing Phone
(417) 241-9558
Medical School Name
OTHER
Graduation Year
2024
Is Sole Proprietor?
No
Enumeration Date
02-12-2025
Last Update Date
03-12-2025
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A primary care provider (PCP) like Sara Henderson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2025004776
License State
MO

Medicare Participation & PECOS Enrollment Status

Sara Henderson is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Sara Henderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5890217640

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250320003480

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sara Henderson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
COX MEDICAL CENTERS3801 SOUTH NATIONAL AVENUE
SPRINGFIELD, MO 65807
(417) 269-6000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427863745
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447166678
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 6 + 6 + 6 + 7 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1427863745 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134156805 DEBORAH ANN UPTON NURSE PRACTITIONER
Individual
Nurse Practitioner501 N OLD WILDERNESS RD
NIXA, MO 65714
(417) 269-2227
1144679960 KRISTEN ALLCORN KILLEN MD
Individual
Family Medicine501 N OLD WILDERNESS RD
NIXA, MO 65714
(417) 269-2227
1518452366 BRIDGET ELLSWORTH FNP-C
Individual
Nurse Practitioner (Family)501 N OLD WILDERNESS RD
NIXA, MO 65714
(417) 269-2227
1316555006 LACEY JEAN HALL DNP
Individual
Nurse Practitioner (Family)501 N OLD WILDERNESS RD
NIXA, MO 65714
(417) 269-2227
1740895440LESTER E COX MEDICAL CENTERS
Organization
Clinic/Center (Urgent Care)501 N OLD WILDERNESS RD
NIXA, MO 65714
(417) 269-9941
1952715716DR. JUSTIN STEPHEN LEGRIS M.D.
Individual
Family Medicine501 N OLD WILDERNESS RD
NIXA, MO 65714
(417) 269-2227
1992144877DR. CHELSEA K. BURNETT DO
Individual
Family Medicine501 N OLD WILDERNESS RD
NIXA, MO 65714
(000) 000-0000
1164223913 CHANDLER DEJONGE PA-C
Individual
Physician Assistant501 N OLD WILDERNESS RD
NIXA, MO 65714
(417) 269-2227
1316747942 EMILLIA MARIE BRATANOV SANDERS PA-C
Individual
Family Medicine501 N OLD WILDERNESS RD
NIXA, MO 65714
(417) 269-2227
1275546947DR. SIU PING LUTHY M.D.
Individual
Family Medicine501 N OLD WILDERNESS RD
NIXA, MO 65714
(417) 269-2227
1447411145DR. BRIAN JAMES DUFF MD
Individual
Family Medicine501 N OLD WILDERNESS RD
NIXA, MO 65714
(417) 269-2227
1346314556LESTER E COX MEDICAL CENTERS
Organization
Family Medicine501 N OLD WILDERNESS RD
NIXA, MO 65714
(417) 269-2227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427863745, enumerated in the NPI registry as an "individual" on February 12, 2025

The provider is located at 501 N Old Wilderness Rd Nixa, Mo 65714 and the phone number is (417) 269-2227

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 2 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): COX MEDICAL CENTERS. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on February 12, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.