Active NPI 1417338104 Individual Practitioner Female Practitioner

Sara Wilson

Nurse Practitioner • Middleton, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sara Wilson is a certified Nurse Practitioner practicing in Middleton, ID. With approximately 11 years of clinical experience since completing medical education in 2015, Sara Wilson delivers high-quality medical care to the local community at 1074 W MAIN ST.

Sara Wilson is affiliated with Mountain West Spine Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, x-ray of lower and sacral spine, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1074 W Main St

Middleton, ID 836445270

Telephone 2089899909

Fax 2082669234

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Middleton, ID

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs Matches City Avg

City Avg: 11.0 Yrs

State Avg: 9.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Middleton, ID (602 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (11 Years) 11 Yrs

Middleton Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	40	$287.13	$99.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$364.66	$131.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	75	$296.35	$99.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$384.57	$128.34
99213 Established patient office or other outpatient visit, typically 15 minutes	28	20	$152.43	$71.50
72100 X-ray of lower and sacral spine, 2-3 views	26	26	$65.60	$25.55
72148 MRI scan of lower spinal canal	26	25	$295.10	$112.59
72040 X-ray of upper spine, 2-3 views	12	12	$64.85	$24.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	127	63	$133.00	$70.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$303.00	$132.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	76	$133.00	$72.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$303.00	$129.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	44	12	$5.00	$1.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	24	$80.00	$43.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	80	$133.00	$60.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$303.00	$132.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	33	12	$5.00	$1.51
20552 Injections of trigger points in 1 or 2 muscles	15	12	$150.00	$44.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$80.00	$36.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	67	$197.00	$86.51
99213 Established patient office or other outpatient visit, typically 15 minutes	103	72	$133.00	$58.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$303.00	$129.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	61	27	$5.00	$1.60
20552 Injections of trigger points in 1 or 2 muscles	34	27	$150.00	$43.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$197.00	$85.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	77	$197.00	$85.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$303.00	$131.06
99213 Established patient office or other outpatient visit, typically 15 minutes	48	37	$133.00	$57.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	35	13	$5.00	$1.78
20552 Injections of trigger points in 1 or 2 muscles	22	14	$150.00	$43.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	44	$197.00	$82.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$303.00	$125.92
99213 Established patient office or other outpatient visit, typically 15 minutes	29	21	$133.00	$56.62
20552 Injections of trigger points in 1 or 2 muscles	27	19	$150.00	$42.74
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	15	12	$17.00	$6.48

Medical Specialties & State Licenses

CMS Verified: 2026-03-02

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ID NP-1568A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Mountain West Spine Llc

2960 E St Lukes St, Meridian, ID 836423506

Phone: 2089925212

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location March 02, 2026

Registered at 1074 W MAIN ST, MIDDLETON, ID 836445270 (Tel: 2089899909)

📍

Updated Business Mailing Address March 02, 2026

Registered at 1074 W MAIN ST, MIDDLETON, ID 836445270 (Tel: 2089899909)

📍

Updated Practice Location May 22, 2024

Registered at 2960 E. ST. LUKES ST., STE. 200, MERIDIAN, ID 836426011 (Tel: 2089925212)

📍

Updated Business Mailing Address May 22, 2024

Registered at 2960 E. ST. LUKES ST., STE. 200, MERIDIAN, ID 836426011 (Tel: 2089925212)

📍

Updated Practice Location March 08, 2023

Registered at 875 S VANGUARD WAY STE 200, MERIDIAN, ID 836428542 (Tel: 7074633000)

📍

Updated Business Mailing Address March 08, 2023

Registered at 215 E HAWAII AVE, NAMPA, ID 836866011

📍

Updated Business Mailing Address November 30, 2020

Registered at PO BOX 742941, ATLANTA, GA 303742941

✅

NPI Profile Active June 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 18, 2015

Registered at 1906 FAIRVIEW AVE STE 230, CALDWELL, ID 836055432 (Tel: 2084594667)

📍

Updated Business Mailing Address June 18, 2015

Registered at 1906 FAIRVIEW AVE STE 230, CALDWELL, ID 836055432 (Tel: 2084594667)

👤

Provider Name / Credentials Updated June 18, 2015

Recorded as SARA WILSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2015

Nurse Practitioner (License #NP-1568A in ID)

🟢

Initial NPI Registration & Enumeration June 18, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417338104

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 18, 2015

Last Update: March 02, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1074 W Main St

Middleton, ID 836445270

Phone: 2089899909

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.