Individual provider Active NPI

Sherri Lyn McCarty, CNP

  • Family Nurse Practitioner
  • Clovis, NM
National Provider Identifier
1508966367
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R36492 Issued in NM
Practice address
1521 W 13TH St
Clovis, NM 88101-5568
Phone
(575) 769-0888
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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 R36492 NM Primary

Addresses

Primary practice location

1521 W 13TH St
Clovis, NM 88101-5568

Mailing address

PO Box 843
Portales, NM 88130-0843
Phone (575) 356-6695

Other practice location 1

100 Commerce Way
Clovis, NM 88101-4768
Phone (575) 762-0360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20081003000173 NM Practitioner - Nurse Practitioner 8729156898 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R36492NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Casa de Buena Salud Inc CurrentSince Apr 1, 2019 Accepting new patients
La Casa de Buena Salud Inc. Current Accepting new patients
La Casa de Buena Salud Inc CurrentSince Apr 1, 2019 Accepting new patients
La Casa de Buena Salud Inc Past Accepting new patients

Locations

1521 W 13th St
Clovis, NM 88101
Phone (575) 769-0888

100 Commerce Way
Clovis, NM 88101
Phone (575) 762-0360

1515 W Fir St
Portales, NM 88130
Phone (505) 356-6695

200 W Wilshire Blvd
Ste A
Roswell, NM 88201
Phone (575) 622-5956

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1508966367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881300843",
            "telephone_number": "575-356-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W 13TH ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015568",
            "telephone_number": "575-769-0888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Commerce Way",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881014768",
            "country_code": "US",
            "telephone_number": "575-762-0360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "SHERRI",
        "middle_name": "LYN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R36492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

Verify at the official NPI Registry.