Active NPI
Sherry Lynn Missildine, RN, MSN, ACNP-BC
- Acute Care Nurse Practitioner
- Mount Pleasant, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP115139
- Practice address
- 2001 N Jefferson Ave Ste 204B
Mount Pleasant, TX 75455-2310 - Phone
- (903) 577-6290
- Fax
- (903) 577-6245
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 658 | CO | |
| Acute Care Nurse Practitioner | 363LA2100X | 704242 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | AP115139 | TX | Primary |
Addresses
Primary practice location
2001 N Jefferson Ave Ste 204B
Mount Pleasant, TX 75455-2310
Mailing address
4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128
Phone (303) 835-0936
Other practice location 1
2602 Saint Michael Dr Ste 302B
Texarkana, TX 75503-5228
Phone (903) 614-5180
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200223530A | Medicaid | OK | |
| 8Y8806 | Other | TX | BCBS |
| 1F7305 | Other | TX | MCR PIN - CTC |
| 197789401 | Medicaid | TX |
Other names 1
- Sherry Lynn Porier
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 N Jefferson Ave
Suite 204B
Mt Pleasant, TX 75455-2310
Phone (903) 434-4815
Hospital & facility affiliations
- Titus Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 658 | CO | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Titus County Hospital District | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Titus County Hospital District | Current | Accepting new patients | |
| Titus County Hospital District | Past | Accepting new patients |
Locations
2001 N Jefferson Ave
Ste 204B
Mt Pleasant, TX 75455
Phone (903) 577-4815
2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
2602 Saint Michael Dr
Ste 302B
Texarkana, TX 75503
Phone (903) 614-5180
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- smissildine@71bbcd5a.micromddirect.com
- smissildine234773@christushealth.direct-ci.net
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Radiation Oncology Clinic/Center
- Mount Pleasant, TX
- NPI 1730876558
-
- General Acute Care Hospital
- Mt Pleasant, TX
- NPI 1174526529
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
Hospital
-
- General Acute Care Hospital
- Mt Pleasant, TX
- NPI 1174526529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1215952965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4743 ARAPAHOE AVE STE 202",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031128",
"telephone_number": "303-835-0936",
"fax_number": "303-998-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N JEFFERSON AVE STE 204B",
"city": "MOUNT PLEASANT",
"state": "TX",
"postal_code": "754552310",
"telephone_number": "903-577-6290",
"fax_number": "903-577-6245"
}
],
"practiceLocations": [
{
"address_1": "2602 Saint Michael Dr Ste 302B",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755035228",
"country_code": "US",
"telephone_number": "903-614-5180",
"fax_number": "903-614-5169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISSILDINE",
"first_name": "SHERRY",
"middle_name": "LYNN",
"credential": "RN, MSN, ACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "658",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "704242",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP115139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200223530A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8Y8806",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR PIN - CTC",
"identifier": "1F7305",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197789401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRY",
"last_name": "PORIER",
"middle_name": "LYNN",
"credential": "RN, MSN, ACNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mount Pleasant, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.