Individual provider Active NPI

Sherron S McReynolds, CRNA

  • Registered Nurse
  • Dodge City, KS
National Provider Identifier
1083774954
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1326447121 Issued in KS
Practice address
101 Plaza Terrace
Dodge City, KS 67801
Phone
(620) 225-0664
NPI assigned
Dec 11, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 54045 KS
Registered Nurse 163W00000X 1326447121 KS Primary

Addresses

Primary practice location

101 Plaza Terrace
Dodge City, KS 67801

Mailing address

PO Box 1261
101 Plaza Terrace
Dodge City, KS 67801
Phone (620) 225-0664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1326447121KSMDRegistered Nurse
54045KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Emporia Anesthesia Associates PA Nurse Anesthetist, Certified Registered PastSince Feb 21, 2021 Accepting new patients
Freeman Neosho Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of Central Kansas, P.a. PastSince Jan 1, 1997 Accepting new patients
National Healthcare of Newport Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Robert H and Teresita S Petty Past Accepting new patients
Clinton Hma, LLC Past Accepting new patients
Northland Anesthesiology Inc Past Accepting new patients
Anesthesia Consultants of Pettis County, PC Past Accepting new patients
Brownwood M. D. Anesthesia Nurse Anesthetist, Certified Registered Past Accepting new patients
Gainesville Hospital District Past Accepting new patients
Gregory L Hummel MD PC Past Accepting new patients
Gainesville Community Hospital, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Liberal Anesthesia Consultants LLC Past Accepting new patients
Coble Eye Associates,P.a. Past Accepting new patients

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083774954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1261",
            "address_2": "101 PLAZA TERRACE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "67801",
            "telephone_number": "620-225-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLAZA TERRACE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "67801",
            "telephone_number": "620-225-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "SHERRON",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54045",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "1326447121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.