Individual provider Active NPI

Sherry Lynn Missildine, RN, MSN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Mount Pleasant, TX
National Provider Identifier
1215952965
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP115139 Issued in TX
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

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200223530AMedicaidOK
8Y8806OtherTXBCBS
1F7305OtherTXMCR PIN - CTC
197789401MedicaidTX

Other names 1

  • Sherry Lynn Porier Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071023000087 TX Practitioner - Nurse Practitioner 1052407046 Reassigns benefits to 2 organizations

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
Titus County Hospital DistrictGroup PAC ID 0143203257, 107 clinicians

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 Hospital, Mount Pleasant, TX, CCN 450080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
658COMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Sep 14, 2020 Accepting new patients
Titus County Hospital District CurrentSince Aug 18, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 14, 2020 Accepting new patients
Titus County Hospital District CurrentSince Aug 18, 2025 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

  • Direct secure messaging: smissildine@71bbcd5a.micromddirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.