Sherrie J. Ament-Sturtevant, FNP
Individual provider Active NPI Nurse Practitioner · Brookline, MO
NPI 1396769766 · NPPES record last updated Nov 17, 2022
Key facts
- NPI
- 1396769766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 140271 (MO)
- Practice address
- 3203 E Old Stone Ave
Brookline, MO 65619-9620 - Phone
- (417) 269-1910
- Fax
- (417) 269-1916
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050919000145 | MO | Practitioner - Nurse Practitioner | 8123051273 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140271 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Carthage | Current |
Accepting new patients | |
| Green Country Emergency Physicians Group of Tulsa PLLC | Current |
Accepting new patients | |
| Citizens Memorial Healthcare | Current |
Accepting new patients | |
| Mercy Hospital Carthage | Current |
Accepting new patients | |
| Citizens Memorial Healthcare | Current |
Accepting new patients | |
| Bigeye Emergency Physicians LLC | Past | Accepting new patients |
Locations
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
502 S Miller Rd
Willard, MO 65781
Phone (417) 761-6655
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 140271 | MO | Yes |
Addresses
Primary practice location
3203 E Old Stone Ave
Brookline, MO 65619-9620
Mailing address
PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 429115710 | Medicaid | MO |
Other names
- Ms. Sherrie J. Ament
Other providers in Brookline, MO
All providers in Brookline, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.