Jodie Katherine Hartmann McSherry, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0797 Issued in SD

Practice address

1417 S. Cliff Ave.
Ste. 300
Sioux Falls, SD 57105-1062

Phone

(605) 322-8630

Fax

(605) 322-8631

NPI assigned

Jan 24, 2012

Last updated

Dec 16, 2014By 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

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

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Ear, Nose and Throat Associates P CGroup PAC ID 8729990940, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jodi.hartmannmcsherry@avera.sdhealthlink.net

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.

• Midwest Ear, Nose & Throat Associates P C

  • Otolaryngology Physician
  • Sioux Falls, SD
  • NPI 1003871419
  Medicare reassignment Care Compare group
• Avera McKennan

  dba Avera McKennan Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  dba Avera Gastroenterology Sioux Falls

  • Gastroenterology Physician
  • Sioux Falls, SD
  • NPI 1194799882
  NPD

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1053682997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S MINNESOTA AVE",
            "address_2": "STE. 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571053762",
            "telephone_number": "605-322-7510",
            "fax_number": "605-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 S. CLIFF AVE.",
            "address_2": "STE. 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051062",
            "telephone_number": "605-322-8630",
            "fax_number": "605-322-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMANN MCSHERRY",
        "first_name": "JODIE",
        "middle_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6836980",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Hartke, DNP
• Daniele Marie Hartley, CNP
• Amber Hartman, RBT
• Amy Jo Hartman, LPC-MH
• Shane D. Hartman, O.D.
• Alfred E Hartmann, M.D.
• Gretchen Hartmann, LMFT
• Megan Lei Hartnett, CSW
• Linda M. Harty
• Carrie Hartzell

• Physician Assistant in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.