Individual provider Active NPI

Eric Sherman, CRNP-BC

  • Nurse Practitioner
  • Hazle Township, PA
National Provider Identifier
1376107375
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019993 Issued in PA
Practice address
1201A N Church St Ste 103
Hazle Township, PA 18202-1479
Phone
(570) 455-8544
Fax
(570) 579-1015
NPI assigned
Apr 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP019993 PA Primary

Addresses

Primary practice location

1201A N Church St Ste 103
Hazle Township, PA 18202-1479

Mailing address

1201A N Church St Ste 103
Hazle Township, PA 18202-1479
Phone (704) 558-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220203002518 PA Practitioner - Nurse Practitioner 5991198558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Orthopaedics and Associates PCGroup PAC ID 8426014267, 3 clinicians

Practice addresses (Care Compare)

1201 A N Church St
Suite 103
Hazle Township, PA 18202-1479
Phone (570) 455-7108

Merit-based Incentive Payment System (MIPS)

Final score
22.31 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Orthopaedics & Associates, PC CurrentSince Jan 18, 2022 Accepting new patients

Locations

1201A N Church St
Ste 103
Hazle Township, PA 18202
Phone (570) 455-7108

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1376107375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201A N CHURCH ST STE 103",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021479",
            "telephone_number": "704-558-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201A N CHURCH ST STE 103",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021479",
            "telephone_number": "570-455-8544",
            "fax_number": "570-579-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "ERIC",
        "credential": "CRNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

Verify at the official NPI Registry.