Individual provider Active NPI

Sherri Kirschbaum, FNP

  • Family Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1023858412
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1138133 Issued in TX
Practice address
1720 E Broad St
Mansfield, TX 76063-3400
Phone
(817) 453-5912
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP1138133 TX Primary

Addresses

Primary practice location

1720 E Broad St
Mansfield, TX 76063-3400

Mailing address

129 Thousand Oaks LN
Joshua, TX 76058-4711
Phone (817) 980-7735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20241121003790 TX Practitioner - Nurse Practitioner 7719412113 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infinite Medical PCGroup PAC ID 8325477656, 87 clinicians
Cam Equity LLCGroup PAC ID 0547599045, 13 clinicians

Practice addresses (Care Compare)

1901 Whipporwill LN
Kilgore, TX 75662-3880
Phone (718) 534-0689

275 SE John Jones Dr
Burleson, TX 76028-8327
Phone (718) 534-0689

411 Airport Rd
Sulphur Springs, TX 75482-2005
Phone (718) 534-0689

5802 Berryhill Dr
Arlington, TX 76017-3925
Phone (682) 321-7007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP1138133TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Medical Group TX PLLC CurrentSince Nov 1, 2024 Accepting new patients
Infinite Medical PC CurrentSince Jan 10, 2026 Accepting new patients
Cam Equity LLC CurrentSince Dec 12, 2025 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

3920 W Wheatland Rd
Ste 152
Dallas, TX 75237
Phone (214) 467-0432

6100 Harris Pkwy
Ste 1240
Fort Worth, TX 76132
Phone (817) 433-5155

4400 Oak Park Ln
Ft Worth, TX 76109
Phone (817) 207-9600

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

1720 E Broad St
Mansfield, TX 76063
Phone (817) 203-4057

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

Organizations & group practices 4

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1023858412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 THOUSAND OAKS LN",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760584711",
            "telephone_number": "817-980-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E BROAD ST",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633400",
            "telephone_number": "817-453-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHBAUM",
        "first_name": "SHERRI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1138133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.