Sheresa Blackmon Catoe, DNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

SC18183 Issued in SC

Practice address

505 Woodland Drive
Kershaw, SC 29067-1704

Phone

(803) 313-3700

Fax

(803) 289-0909

NPI assigned

Apr 2, 2013

Last updated

Oct 26, 2021By 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 4

Addresses

Other identifiers 1

Other names 1

• Sheresa Blackmon McKittrick Former name

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

University of South Carolina School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carolina Behavioral Healthcare, LLCGroup PAC ID 0143586800, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suncrest Home Health Home health agency, Cheraw, SC, CCN 427020
• Centerwell Home Health-Pee Dee Home health agency, Florence, SC, CCN 427854
• Adoration Home Health Home health agency, Lancaster, SC, CCN 427034
• Musc Health Lancaster Medical Center Hospital, Lancaster, SC, CCN 420036

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Carolina Behavioral Healthcare LLC

  • Acute Care Nurse Practitioner
  • Kershaw, SC
  • NPI 1174045710
  Medicare reassignment Care Compare group NPD Authorized official
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  SC

  Medicare reassignment NPD
• Palmetto Oaks Residential Care

  • Assisted Living Facility
  • Pageland, SC
  • NPI 1174252266
  Authorized official Same address or phone
• Carolina Cardiology Associates LLC

  • Cardiovascular Disease Physician
  • Rock Hill, SC
  • NPI 1134166507
  NPD
• Carolina Heart Specialists LLC

  • Cardiovascular Disease Physician
  • Lancaster, SC
  • NPI 1881802841
  NPD

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

• Capital Care Resources of South Carolina, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Florence, SC
  • NPI 1528433521
  Care Compare affiliation
• Chesterfield Visiting Nurses Service Inc

  dba SunCrest Home Health

  • Home Health Agency
  • Cheraw, SC
  • NPI 1669453692
  Care Compare affiliation
• Lancaster Home Care Services, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Lancaster, SC
  • NPI 1568412740
  Care Compare affiliation

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1407199011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WOODLAND DRIVE",
            "city": "KERSHAW",
            "state": "SC",
            "postal_code": "290671704",
            "telephone_number": "803-283-7465",
            "fax_number": "877-299-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WOODLAND DRIVE",
            "city": "KERSHAW",
            "state": "SC",
            "postal_code": "290671704",
            "telephone_number": "803-313-3700",
            "fax_number": "803-289-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATOE",
        "first_name": "SHERESA",
        "middle_name": "BLACKMON",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "18183",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "SC18183",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "SC18183",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "SC18183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2429",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERESA",
            "last_name": "MCKITTRICK",
            "middle_name": "BLACKMON",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Brubeck, NP
• C.L. Thaxton Insurance Group, Inc. (Thaxton Insurance Group)
• Care-Net of Lancaster (Plexus Health)
• Carolina Behavioral Healthcare LLC
• Carolina Dental Partners, Inc
• Brooke Chewning Bradshaw, ATC
• Rebekah Bowers Clements
• Lisa D Clyburn, NP-C
• James Darrell Dailey III, PHARM. D.
• DRS Kelley & McDowell PA

• Acute Care Nurse Practitioner in Kershaw, SC
• Providers in Kershaw, SC by specialty
• Acute Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.