Individual provider Active NPI

Sherri L Mongeon, CRNP-A

  • Adult Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1023312485
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R192204 Issued in MD
Practice address
3601 Odonnell St
Baltimore, MD 21224-5238
Phone
(410) 864-4400
NPI assigned
Dec 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R192204 MD Primary

Addresses

Primary practice location

3601 Odonnell St
Baltimore, MD 21224-5238

Mailing address

3601 Odonnell St
Baltimore, MD 21224-5238
Phone (410) 864-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The New London Hospital Association, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1023312485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 ODONNELL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245238",
            "telephone_number": "410-864-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 ODONNELL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245238",
            "telephone_number": "410-864-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGEON",
        "first_name": "SHERRI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CRNP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R192204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.