Individual provider Active NPI

Sheryl L. Marckstadt, CNP

  • Family Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1487658837
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0312 Issued in SD
Practice address
5027 S Bur Oak PL
Sioux Falls, SD 57108-2228
Phone
(605) 271-9000
Fax
(605) 271-9001
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0312 SD Primary

Addresses

Primary practice location

5027 S Bur Oak PL
Sioux Falls, SD 57108-2228

Mailing address

5027 S Bur Oak PL
Sioux Falls, SD 57108-2228
Phone (605) 271-9000

Other identifiers 1

IdentifierTypeStateIssuer
6822785MedicaidSD

Other names 1

  • Sheryl L. McMullin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20051221000767 SD Practitioner - Nurse Practitioner 0547282212 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0312SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Mar 13, 2025 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

3932 S Western Ave
Sioux Falls, SD 57105
Phone (605) 322-6408

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1487658837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 S BUR OAK PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082228",
            "telephone_number": "605-271-9000",
            "fax_number": "605-271-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 S BUR OAK PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082228",
            "telephone_number": "605-271-9000",
            "fax_number": "605-271-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCKSTADT",
        "first_name": "SHERYL",
        "middle_name": "L.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "0312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6822785",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "MCMULLIN",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.