Sheryl Kimberly Gore, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

305422 Issued in AZ

Practice address

10524 E Highway 92
Hereford, AZ 85615-8371

Phone

(520) 366-0300

Fax

(520) 366-0400

NPI assigned

Jan 22, 2008

Last updated

Apr 8, 2024By 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 2

Addresses

Other names 1

• Ms. Sheryl Ransom Kindrick Former name

Medicare fee-for-service enrollment

Enrolled in LA, AZ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bisbee Hospital AssociationGroup PAC ID 5092626168, 69 clinicians

Tri-State Medical Specialists LLCGroup PAC ID 1850422023, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Copper Queen Community Hospital Hospital, Bisbee, AZ, CCN 031312

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bisbee Hospital Association

  • Critical Access Hospital
  • Bisbee, AZ
  • NPI 1518968767
  Medicare reassignment Care Compare group NPD
• Tri-State Medical Specialists LLC

  dba TriState Pain Institute

  • Pain Medicine Physician
  • Fort Mohave, AZ
  • NPI 1649598426

  Family

  Medicare reassignment Care Compare group NPD
• Hulin Urgent Care Services LLC

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment NPD
• Bisbee Hospital Association

  dba Copper Queen Community Hospital Hereford RHC

  • Rural Health Clinic/Center
  • Hereford, AZ
  • NPI 1245986975
  NPD
• Bisbee Hospital Association

  dba Copper Queen Medical Associates Bisbee

  • Clinic/Center
  • Bisbee, AZ
  • NPI 1568471696
  NPD
• Hulin Urgent Care Services LLC

  dba Southstar Urgent Care

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD
• Tri-State Medical Specialists LLC

  dba Tri-State Pain Institute

  • Pain Medicine Physician
  • Henderson, NV
  • NPI 1811464118
  NPD
• Bisbee Hospital Association

  dba Copper Queen Medical Associates Palominas

  • Rural Health Clinic/Center
  • Hereford, AZ
  • NPI 1225438104
  NPD (past)
• Ahs Walk in Clinic Inc

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • Youngsville, LA
  • NPI 1639234495
  NPD (past)

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

• Bisbee Hospital Association

  • Critical Access Hospital
  • Bisbee, AZ
  • NPI 1518968767
  Care Compare affiliation

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1457538431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 SUFFOLK DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354766",
            "telephone_number": "318-738-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 E HIGHWAY 92",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856158371",
            "telephone_number": "520-366-0300",
            "fax_number": "520-366-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "SHERYL",
        "middle_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "081278-05327",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "305422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "KINDRICK",
            "middle_name": "RANSOM",
            "prefix": "MS.",
            "credential": "F.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Gause
• Steven Richard Germann
• Goldenoaks
• Danitza Areli Gonzalez, RRT
• Kara L Gordon, DPM, MBA
• Thomas Alcott Harris, P.A.-C
• Yolanda J Harvey, MSW, LICSW
• Diana Deray Jones, RN
• Jessica Lea Joyce, MSW
• Kara L. Montes, D.P.M., PC

• Family Nurse Practitioner in Hereford, AZ
• Providers in Hereford, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.