Individual provider Active NPI

Sherry D Welker, WHNP

  • Women's Health Nurse Practitioner
  • Sikeston, MO
National Provider Identifier
1508941626
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
120488 Issued in MO
Practice address
1013 N Main St
Sikeston, MO 63801-5043
Phone
(573) 472-7535
Fax
(573) 472-7787
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 120488 MO Primary

Addresses

Primary practice location

1013 N Main St
Sikeston, MO 63801-5043

Mailing address

1013 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-7535

Other identifiers 1

IdentifierTypeStateIssuer
428634711MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Delta Medical Center CurrentSince Jan 1, 2008 Accepting new patients
Missouri Delta Medical Center CurrentSince Jan 1, 2008 Accepting new patients
Missouri Delta Medical Center Women'S Health Past Accepting new patients

Locations

1013 N Main St
Sikeston, MO 63801
Phone (573) 472-7535

119 Smith Ave
Sikeston, MO 63801
Phone (573) 471-0662

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

Organizations & group practices 3

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1508941626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015043",
            "telephone_number": "573-472-7535",
            "fax_number": "573-472-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015043",
            "telephone_number": "573-472-7535",
            "fax_number": "573-472-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKER",
        "first_name": "SHERRY",
        "middle_name": "D",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "120488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428634711",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.