NPIMap

Organization Active NPI

Sheets Family Practice P.C. Inc.

  • Family Medicine Physician
  • Rensselaer, IN
National Provider Identifier
1134538234
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHEETS FAMILY PRACTICE P.C. INC.
Practice address
123 S McKinley Ave
Rensselaer, IN 47978-2949
Phone
(219) 866-1890
Fax
(219) 866-1871
NPI assigned
Aug 4, 2014
Last updated
Nov 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Dr. Patrick J Sheets, MDNPI 1396704268
Title
Owner
Phone
(219) 866-1890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

123 S McKinley Ave
Rensselaer, IN 47978-2949

Mailing address

123 S McKinley Ave
Rensselaer, IN 47978-2949
Phone (219) 866-1890

Other practice location 1

565 S Countryside Lane
Monticello, IN 47960
Phone (574) 583-0353

Other identifiers 1

IdentifierTypeStateIssuer
200327490BMedicaidIN

National Provider Directory

National Provider Directory

Locations

208 W Washington St
Rensselaer, IN 47978
Phone (219) 866-1890

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1134538234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S MCKINLEY AVE",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782949",
            "telephone_number": "219-866-1890",
            "fax_number": "219-866-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S MCKINLEY AVE",
            "city": "RENSSELAER",
            "state": "IN",
            "postal_code": "479782949",
            "telephone_number": "219-866-1890",
            "fax_number": "219-866-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 S Countryside Lane",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "IN",
            "postal_code": "47960",
            "country_code": "US",
            "telephone_number": "574-583-0353",
            "fax_number": "574-583-0040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHEETS FAMILY PRACTICE P.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-866-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200327490B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.