NPIMap

Individual provider Active NPI

Tracy L Sherman, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Two Rivers, WI
National Provider Identifier
1437373586
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
37871-020 Issued in WI
Practice address
2219 Garfield St
Two Rivers, WI 54241-2416
Phone
(920) 793-2281
Fax
(920) 794-7553
NPI assigned
Apr 12, 2007
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 37871-020 WI Primary

Addresses

Primary practice location

2219 Garfield St
Two Rivers, WI 54241-2416

Mailing address

2219 Garfield St
Two Rivers, WI 54241-2416
Phone (920) 793-2281

Other practice location 1

3860 Monroe Rd
DE Pere, WI 54115-8399
Phone (920) 496-4700

Other identifiers 1

IdentifierTypeStateIssuer
32241400MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tsherman193383@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000638 WI Practitioner - Geriatric MedicinePractitioner - Family PracticePractitioner - Psychiatry 0042266405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
University of Wisconsin School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2219 Garfield St
Two Rivers, WI 54241-2416
Phone (920) 793-6317

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37871-020WIMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Oct 30, 2017 Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Oct 30, 2017 Accepting new patients
Lakeshore Radiology Associates SC Past Accepting new patients
Hoffman Geriatric Services SC Geriatric Medicine Past Accepting new patients
Holy Family Memorial Inc Past Accepting new patients

Locations

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1235 S 24th St
Manitowoc, WI 54220
Phone (920) 320-6620

1445 N 7th St
Manitowoc, WI 54220
Phone (920) 682-0314

2021 S Alverno Rd
Manitowoc, WI 54220
Phone (732) 961-8491

960 S Rapids Rd
Manitowoc, WI 54220
Phone (920) 684-1144

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

701 Willow St
Peshtigo, WI 54157
Phone (715) 582-0144

1 Hamilton Dr
Two Rivers, WI 54241
Phone (920) 793-2261

2219 Garfield St
Two Rivers, WI 54241
Phone (920) 793-2281

Interoperability endpoints

  • Direct secure messaging: tsherman193383@direct.myadvocateaurora.org

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1437373586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 GARFIELD ST",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542412416",
            "telephone_number": "920-793-2281",
            "fax_number": "920-794-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 GARFIELD ST",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542412416",
            "telephone_number": "920-793-2281",
            "fax_number": "920-794-7553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3860 Monroe Rd",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541158399",
            "country_code": "US",
            "telephone_number": "920-496-4700",
            "fax_number": "920-431-1950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "TRACY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WI",
            "license": "37871-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32241400",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsherman193383@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2219 Garfield St",
            "city": "Two Rivers",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542412416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2219 Garfield St",
            "city": "Two Rivers",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542412416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Two Rivers, WI

Sources for this page

Verify at the official NPI Registry.