NPIMap

Individual provider Active NPI

Fern Sherrell, APN

  • Family Nurse Practitioner
  • Melbourne, AR
National Provider Identifier
1083685416
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A01845 ANP Issued in AR
Practice address
1019 East Main
Melbourne, AR 72556
Phone
(870) 368-4729
Fax
(870) 368-4729
NPI assigned
Feb 1, 2006
Last updated
Jul 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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 A01845 ANP AR Primary

Addresses

Primary practice location

1019 East Main
Melbourne, AR 72556

Mailing address

P.O Box 1130
1019 East Main
Melbourne, AR 72556
Phone (870) 368-4729

Other identifiers 1

IdentifierTypeStateIssuer
158109758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816001199 AR Practitioner - Nurse Practitioner 1951331263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baxter Regional Health SystemGroup PAC ID 0941507677, 20 clinicians

Practice addresses (Care Compare)

1019 E Main St
Baxter Health Family Clinic at Melbourne
Melbourne, AR 72556-8240
Phone (870) 916-2150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A01845 ANPARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital, Inc CurrentSince Dec 1, 2025 Accepting new patients
Baxter Regional Health System CurrentSince Jan 1, 2020 Accepting new patients
Baxter Regional Health System Family Current Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Dec 1, 2025 Accepting new patients
Baxter Regional Health System CurrentSince Jan 1, 2020 Accepting new patients
Community Medical Center of Izard County Past Accepting new patients
Baxter Regional Health System Past Accepting new patients
White River Health System, Inc. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Izard County Medical Center, LLC Past Accepting new patients

Locations

1019 E Main St
Melbourne, AR 72556
Phone (870) 368-4729

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

102 Mountain Place Dr
Ste C
Mountain View, AR 72560
Phone (870) 232-5315

414 W Old Main St
Yellville, AR 72687
Phone (870) 424-1000

Interoperability endpoints

  • Direct secure messaging: fern.sherrell@bhcawp.eclinicaldirectplus.com

Organizations & group practices 10

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1083685416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 1130",
            "address_2": "1019 EAST MAIN",
            "city": "MELBOURNE",
            "state": "AR",
            "postal_code": "72556",
            "telephone_number": "870-368-4729",
            "fax_number": "870-368-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 EAST MAIN",
            "city": "MELBOURNE",
            "state": "AR",
            "postal_code": "72556",
            "telephone_number": "870-368-4729",
            "fax_number": "870-368-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRELL",
        "first_name": "FERN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01845 ANP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158109758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, AR

Sources for this page

Verify at the official NPI Registry.