Active NPI
Sherry K. Schillo, PAC
- Physician Assistant
- Miles City, MT
National Provider Identifier
1285641324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 203
- Practice address
- 620 S Haynes Ave
Miles City, MT 59301-4769 - Phone
- (406) 233-7000
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Occupational Medicine Clinic/Center
- Dickinson, ND
- NPI 1669524351
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131001000523 | ND | Practitioner - Physician Assistant | 6406850866 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
2603 E Broadway Ave
Bismarck, ND 58501
Phone (701) 323-5222
1531 W Villard St
Dickinson, ND 58601
Phone (701) 225-7575
801 21st Ave SE
Minot, ND 58701
Phone (701) 838-3033
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 203 | MT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
620 S Haynes Ave
Miles City, MT 59301-4769
Mailing address
PO Box 35100
Billings, MT 59107-5100
Phone (406) 238-2500
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0439875 | Other | MT | MDCD PIN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 27, 2008.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1285641324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35100",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591075100",
"telephone_number": "406-238-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S HAYNES AVE",
"city": "MILES CITY",
"state": "MT",
"postal_code": "593014769",
"telephone_number": "406-233-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILLO",
"first_name": "SHERRY",
"middle_name": "K.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCD PIN",
"identifier": "0439875",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miles City, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.