NPIMap

Individual provider Active NPI

Sherry S Billups, DO

  • Family Medicine Physician
  • Blackduck, MN
National Provider Identifier
1124045125
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43281 Issued in MN
Practice address
81 1St St NW
Blackduck, MN 56630
Phone
(218) 835-4222
Fax
(218) 835-5837
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 6

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanford Health of Northern Minnesota 349 clinicians

Practice addresses (Care Compare)

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

243 Clark Ave N
Kelliher, MN 56650-3015
Phone (218) 647-8832

81 - 1St St NW
Blackduck, MN 56630-2195
Phone (218) 835-4222

Hospital & facility affiliations

  • Sanford Bemidji Home Care and Hospice Home health agency, Bemidji, MN, CCN 247215
  • Sanford Bemidji Hospice Hospice, Bemidji, MN, CCN 241511
  • St Croix Hospice Hospice, Grand Rapids, MN, CCN 241606
  • Sanford Bemidji Medical Center Hospital, Bemidji, MN, CCN 240100
  • Good Samaritan Society - Blackduck Nursing home, Blackduck, MN, CCN 245600

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
74.25
Promoting interoperability
100
Improvement activities
40
Cost
76.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

Medicare participation

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

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Samaritan Society - BlackduckBlackduck, MN, CCN 245600 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 14, 2018
Aug 14, 2018

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20101117001475 MN Practitioner - Family Practice 2860688769 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota Family Medicine CurrentSince Jun 2, 2013 Accepting new patients
Sanford Health of Northern Minnesota Family Medicine CurrentSince Jun 2, 2013 Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients

Locations

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

81 1st St NW
Blackduck, MN 56630
Phone (218) 835-4222

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200

Interoperability endpoints

  • Direct secure messaging: sbillups1840803@direct.sanfordhealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43281 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

81 1St St NW
Blackduck, MN 56630

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
11385MedicaidND

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address sbillups1840803@direct.sanfordhealth.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2023.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1124045125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 1ST ST NW",
            "city": "BLACKDUCK",
            "state": "MN",
            "postal_code": "56630",
            "telephone_number": "218-835-4222",
            "fax_number": "218-835-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLUPS",
        "first_name": "SHERRY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-11-17",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "43281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11385",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbillups1840803@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "81 1st St NW",
            "city": "BLACKDUCK",
            "state": "MN",
            "country_code": "US",
            "postal_code": "56630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blackduck, MN

Sources for this page

Verify at the official NPI Registry.