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Sarah De Groot

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

915 Highland Blvd, Bozeman, MT 59715-6902

PECOS Enrollment

Based on the most recent information from CMS, provider Sarah De Groot is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1265148100
Provider Type
Individual
Full Name
De Groot, Sarah
Gender
Female

Sole Proprietor
No
Enumeration Date
1/24/2023
Last Updated
1/22/2026

Contact Information

Practice Location

915 Highland Blvd, Bozeman, MT 59715-6902

(406) 414-5000

Unlisted Fax

Mailing Location

915 Highland Blvd, Bozeman, MT 59715-6902

(406) 414-5000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License NUR-APRN-LIC-285503 Montana

Sarah De Groot

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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