Shaylynn Sherrick Smith, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

79295 Issued in ID

Practice address

2303 Park Ave
Burley, ID 83318-2106

Phone

(208) 677-3073

NPI assigned

May 6, 2024

Last updated

May 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shaylynn Sherrick Clark Former name

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dandg Medical Associates PLLCGroup PAC ID 6709140510, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cassia Regional Hospital Hospital, Burley, ID, CCN 131326

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCBGBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• D&G Medical Associates PLLC

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1669975900
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  dba Intermountain Health Cassia Regional Hospital

  • General Acute Care Hospital
  • Burley, ID
  • NPI 1497865315
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1013764224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 GINGKO ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 PARK AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182106",
            "telephone_number": "208-677-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAYLYNN",
        "middle_name": "SHERRICK",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "79295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYLYNN",
            "last_name": "CLARK",
            "middle_name": "SHERRICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marizza Shoup
• Simply Hope Family Outreach Inc
• Norman D. Sinclair, M.S.
• Smiles 4 Kids Burley
• Daelynn Jo Smith, FNP
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #123)
• Smithson Counseling LLC (Andy Smithson)
• Robert Andrew Smithson, LMSW
• Snarr Anesthesia Services PLLC
• R Jared Snarr, CRNA

• Family Nurse Practitioner in Burley, ID
• Providers in Burley, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.