Individual provider Active NPI

Sherri Lynn Underwood, FNP-BC

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1225546823
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022191 Issued in OH
Practice address
1 Elizabeth PL Ste D
Dayton, OH 45417-3445
Phone
(937) 222-2233
Fax
(937) 222-9665
NPI assigned
Jan 17, 2018
Last updated
May 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022191 OH Primary

Addresses

Primary practice location

1 Elizabeth PL Ste D
Dayton, OH 45417-3445

Mailing address

1 Elizabeth PL Ste D
Dayton, OH 45417-3445
Phone (937) 222-2233

Other identifiers 1

IdentifierTypeStateIssuer
0296194MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180821001837 OH Practitioner - Nurse Practitioner 4587913736 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Ohio LLCGroup PAC ID 7719087584, 212 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians

Practice addresses (Care Compare)

3420 Towne Blvd
Middletown, OH 45005-5506
Phone (513) 217-2185

3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081

Merit-based Incentive Payment System (MIPS)

Final score
98.63 of 100Reported as group
Quality
95
Improvement activities
40
Cost
68.77

Merit-based Incentive Payment System (MIPS)

Final score
86.78 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
84.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022191OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carespring NP, LLC CurrentSince Jun 1, 2023 Accepting new patients
Dayton Pain Center LLC CurrentSince May 6, 2019 Accepting new patients
Venvisor Health Ohio LLC Family CurrentSince Mar 1, 2020 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Jul 17, 2023 Accepting new patients
Pulmonary Associates LLC PastSince Mar 17, 2024 Accepting new patients

Locations

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

1 Elizabeth Pl
Ste D
Dayton, OH 45417
Phone (937) 222-2233

545 Metro Pl S
Ste 100
Dublin, OH 43017
Phone (614) 398-0558

390 Wards Corner Rd
Loveland, OH 45140

3420 Towne Blvd
Middletown, OH 45005
Phone (513) 217-2150

331 6th Ave
Sidney, OH 45365
Phone (937) 222-2233

Interoperability endpoints

  • Direct secure messaging: sherri.underwood@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1225546823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL STE D",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-222-2233",
            "fax_number": "937-222-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL STE D",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-222-2233",
            "fax_number": "937-222-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "SHERRI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0296194",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.