Sherri L Tometczak, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP8180 Issued in AZ

Practice address

9900 Bren Rd E
Minnetonka, MN 55343-9664

Phone

(520) 429-5228

NPI assigned

Sep 24, 2015

Last updated

Jul 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sherri Lynn Kelly Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sherri.tometczak.1@30710.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bristol Palliative Care Services, LLC

  dba Bristol Advanced Illness Management

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Salt Lake City, UT
  • NPI 1467930552

  AZ

  Medicare reassignment NPD

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1164892790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15445 S PLACITA SORPRESA",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "520-429-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMETCZAK",
        "first_name": "SHERRI",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRI",
            "last_name": "KELLY",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebekah Victoria Tinsley
• Breanna Young Tivy-Debauche, D.C.
• Krestine K Tiziani, DMD
• Katie Jean Toft, M.D.
• Logan Tomasek, DC
• Jenesis Tompkins
• Joe Tonda
• Tonka Smiles
• Brooke Allan Topalof, LMFT
• Kristin Kay Torborg, SLP

• Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.