Mark Ray Sheets, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1022086 Issued in TX

Practice address

1100 E Loop 304
Crockett, TX 75835-1810

Phone

(936) 546-3891

NPI assigned

Dec 14, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Baylor County Hospital DistrictGroup PAC ID 6103739222, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brownfield Regional Medical Center Hospital, Brownfield, TX, CCN 450399
• Anson General Hospital Hospital, Anson, TX, CCN 670781
• Seymour Hospital Hospital, Seymour, TX, CCN 451399

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msheets@yourcarecommunity.org
• Direct secure messaging: mark.sheets.1@14590.direct.athenahealth.com

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.

• Baylor County Hospital District

  • Critical Access Hospital
  • Seymour, TX
  • NPI 1194893263
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment Care Compare group NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment Care Compare group NPD
• Concord North Texas, PLLC

  • Emergency Medicine Physician
  • Bonham, TX
  • NPI 1952761173
  Medicare reassignment NPD
• Dimmit Regional Hospital

  • Critical Access Hospital
  • Carrizo Springs, TX
  • NPI 1326134255
  Medicare reassignment NPD
• Moore County Hospital District

  • Critical Access Hospital
  • Dumas, TX
  • NPI 1700991700
  Medicare reassignment NPD
• Terry Memorial Hospital District

  • General Practice Physician
  • Brownfield, TX
  • NPI 1619991171
  Medicare reassignment NPD
• Dimmit Regional Hospital

  • Emergency Medicine Physician
  • Carrizo Springs, TX
  • NPI 1164774253
  Medicare reassignment
• Baylor County Hospital District

  • Skilled Nursing Facility
  • Brady, TX
  • NPI 1710395892
  NPD
• Dimmit Regional Hospital

  • Rural Health Clinic/Center
  • Carrizo Springs, TX
  • NPI 1568082477
  NPD
• Dimmit Regional Hospital

  • Rural Health Clinic/Center
  • Crystal City, TX
  • NPI 1750901070
  NPD
• Terry Memorial Hospital District

  • Home Health Agency
  • Brownfield, TX
  • NPI 1679612808
  NPD

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

• Anson Hospital District

  • Rural Acute Care Hospital
  • Anson, TX
  • NPI 1457393571
  Care Compare affiliation
• Baylor County Hospital District

  • Critical Access Hospital
  • Seymour, TX
  • NPI 1194893263
  Care Compare affiliation
• Terry Memorial Hospital District

  • Rural Acute Care Hospital
  • Brownfield, TX
  • NPI 1811916901
  Care Compare affiliation

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1124614169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 LAKE COUNTY ROAD 248",
            "city": "COLORADO CITY",
            "state": "TX",
            "postal_code": "795127412",
            "telephone_number": "325-242-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E LOOP 304",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351810",
            "telephone_number": "936-546-3891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W 11th Pl",
            "address_purpose": "LOCATION",
            "city": "Big Spring",
            "state": "TX",
            "postal_code": "797204114",
            "country_code": "US",
            "telephone_number": "432-263-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "MARK",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1022086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Linnea Robison, LBSW, LNFA
• Bryan Scott Shaver, PA
• Frank A Smith, MD
• Southwest LTC Crockett I, LTD.
• Southwest LTC Crockett II, LTD.
• Stanley Roger Speegle, MD
• Standley and Standley Enterprises LLC

• Nurse Practitioner in Crockett, TX
• Providers in Crockett, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.