Individual provider Active NPI

Sherry D. Sherman, P.A-C

  • Physician Assistant
  • Fort Mill, SC
National Provider Identifier
1376571547
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009359-1 Issued in NY
Practice address
1658 W Highway 160
Fort Mill, SC 29708-8024
Phone
(803) 548-3636
Fax
(803) 548-3703
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009359-1 NY Primary

Addresses

Primary practice location

1658 W Highway 160
Fort Mill, SC 29708-8024

Mailing address

1658 W Highway 160
Fort Mill, SC 29708-8024
Phone (803) 548-3636

Other practice location 1

1444 Western Ave Ste C
Albany, NY 12203-3458
Phone (518) 458-8014

Other practice location 2

1444 Western Ave Ste B2
Albany, NY 12203-3440
Phone (518) 489-2812

Other practice location 3

1444 Western Ave Ste D
Albany, NY 12203-3458
Phone (518) 452-0587

Other identifiers 1

IdentifierTypeStateIssuer
02503473MedicaidNY

Other names 1

  • Sherry D Rugenstein Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050427000656 NY Practitioner - Physician Assistant 4880633064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Peter'S Health Partners Medical Associates, P.C.Group PAC ID 6103061189, 480 clinicians

Practice addresses (Care Compare)

1444 Western Ave
Albany, NY 12203-3458

2 New Hampshire Ave
Troy, NY 12180-1764
Phone (518) 525-8220

Hospital & facility affiliations

  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009359-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health Partners Medical Associates, P.C. Physician Assistant CurrentSince Jan 1, 2013 Accepting new patients
Community Care Physicians, PLLC Past Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Physician Assistant Past Accepting new patients
Community Care Physicians, PC Physician Assistant PastSince Jan 1, 1998 Accepting new patients

Locations

1444 Western Ave
Ste A
Albany, NY 12203
Phone (518) 489-2812

1444 Western Ave
Ste D
Albany, NY 12203
Phone (518) 452-0287

1375 Washington Ave
Ste 202
Albany, NY 12206
Phone (518) 482-0007

425 New Scotland Ave
Albany, NY 12208
Phone (518) 525-6987

1444 Western Ave
Ste B1
Albany, NY 12203
Phone (518) 458-2611

1444 Western Ave
Ste C
Albany, NY 12203
Phone (518) 458-8014

1444 Western Ave
Ste B2
Albany, NY 12203
Phone (518) 458-2611

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

1301 River St
Ste 204
Valatie, NY 12184
Phone (518) 392-8600

Interoperability endpoints

  • Direct secure messaging: ssherman85256@direct.trinity-health.org

Organizations & group practices 4

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1376571547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 W HIGHWAY 160",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088024",
            "telephone_number": "803-548-3636",
            "fax_number": "803-548-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 W HIGHWAY 160",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088024",
            "telephone_number": "803-548-3636",
            "fax_number": "803-548-3703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1444 Western Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122033458",
            "country_code": "US",
            "telephone_number": "518-458-8014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1444 Western Ave Ste B2",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122033440",
            "country_code": "US",
            "telephone_number": "518-489-2812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1444 Western Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122033458",
            "country_code": "US",
            "telephone_number": "518-452-0587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "SHERRY",
        "middle_name": "D.",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009359-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02503473",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1444 Western Ave Ste B1",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122033440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "RUGENSTEIN",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.