Sandra Louise Shumaker, ACNP-C

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

CP000461 Issued in SD

Practice address

921 Spyglass Cir
Cnos, PC
Dakota Dunes, SD 57049-5101

Phone

(712) 490-8422

NPI assigned

Feb 21, 2006

Last updated

May 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SD, IA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dunes Surgical Hospital Hospital, Dakota Dunes, SD, CCN 430089
• St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
• Mercyone Siouxland Medical Center Hospital, Sioux City, IA, CCN 160153

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gsshumaker, PLLC

  • Critical Care Medicine Nurse Practitioner
  • Dakota Dunes, SD
  • NPI 1306291489

  IA

  Medicare reassignment NPD
• Northwest Iowa Hospital Corporation

  dba St. Luke's Regional Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sioux City, IA
  • NPI 1215962550
  Medicare reassignment NPD
• Neurological Clinic, SC

  • Clinic/Center
  • Annandale, VA
  • NPI 1144879206
  NPD (past)
• St Lukes Health Resources

  dba St Lukes Clinic Network

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1528001492
  NPD (past)

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

• Siouxland Surgery Center Limited Liability Partnership

  dba Dunes Surgical Hospital

  • Special Hospital
  • Dakota Dunes, SD
  • NPI 1093714073
  Care Compare affiliation
• Northwest Iowa Hospital Corporation

  dba St Lukes Regional Medical Center

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622
  Care Compare affiliation

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1255306551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SPYGLASS CIR",
            "address_2": "CNOS, PC",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495101",
            "telephone_number": "712-490-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SPYGLASS CIR",
            "address_2": "CNOS, PC",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495101",
            "telephone_number": "712-490-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAKER",
        "first_name": "SANDRA",
        "middle_name": "LOUISE",
        "credential": "ACNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SD",
            "license": "CP000461",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "L113973",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "111169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Michael Sherman, MD
• Kathren Shoop
• Kimberly Kay Shugar, RN BSN
• Katie Evelyn Shull, ARNP
• Grant Harper Shumaker, MD
• Sioux Falls Vamc
• Siouxland Anesthesiology, LTD
• Siouxland Gastroenterology P C
• Siouxland Pathology (Dunes Medical Lab Siouxland Pathology)
• Siouxland Pulmonary Critical Care & Sleep PC

• Acute Care Nurse Practitioner in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Acute Care Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.

Verify at the official NPI Registry.