Active NPI
Sherri Jo Gibson, CNP
- Family Nurse Practitioner
- White, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R019223
- Practice address
- 302 East Fifth Street
White, SD 57276 - Phone
- (605) 629-8211
- Fax
- (605) 629-8291
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R019223 | SD | Primary |
Addresses
Primary practice location
302 East Fifth Street
White, SD 57276
Mailing address
302 East Fifth Street
White, SD 57276
Phone (605) 629-8211
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Kasan Ave
Volga, SD 57071-7701
Phone (605) 627-5701
302 E 5TH St
White, SD 57276-2061
Phone (605) 629-3333
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R019223 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Brookings | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients |
Locations
300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351
302 E 5th St
White, SD 57276
Phone (605) 629-8211
Interoperability endpoints
- sheri.gibson@avera.sdhealthlink.net
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Brookings, SD
- NPI 1932281029
-
- Multi-Specialty Clinic/Center
- Brookings, SD
- NPI 1134558158
-
- Rural Health Clinic/Center
- Arlington, SD
- NPI 1902123581
-
- Multi-Specialty Clinic/Center
- Brookings, SD
- NPI 1982057246
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brookings, SD
- NPI 1275515579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487730347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 EAST FIFTH STREET",
"city": "WHITE",
"state": "SD",
"postal_code": "57276",
"telephone_number": "605-629-8211",
"fax_number": "605-629-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 EAST FIFTH STREET",
"city": "WHITE",
"state": "SD",
"postal_code": "57276",
"telephone_number": "605-629-8211",
"fax_number": "605-629-8291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "SHERRI",
"middle_name": "JO",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "R019223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.