Individual provider Active NPI

Sherrie Ladegast, F.N.P.

  • Family Nurse Practitioner
  • Davis, CA
National Provider Identifier
1578920955
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003187 Issued in CA
Practice address
1616 Da Vinci CT
Davis, CA 95618-4860
Phone
(530) 752-1281
NPI assigned
Jan 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95003187 CA
Family Nurse Practitioner 363LF0000X 95003187 CA Primary

Addresses

Primary practice location

1616 Da Vinci CT
Davis, CA 95618-4860

Mailing address

1616 Da Vinci CT
Davis, CA 95618-4860
Phone (530) 752-1281

Other practice location 1

1 Shrader St
Suite 578
San Francisco, CA 94117-1016
Phone (415) 876-5762

Other practice location 2

3490 California St
San Francisco, CA 94118
Phone (415) 593-1134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191030002578 CA Practitioner - Nurse Practitioner 2264764992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians

Practice addresses (Care Compare)

1679 E Monte Vista Ave
Suite 104
Vacaville, CA 95688-3123
Phone (707) 624-7410

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95003187CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Healthcare Group Current Accepting new patients
Northbay Healthcare Group CurrentSince Mar 1, 2024 Accepting new patients
Northbay Healthcare Group CurrentSince Mar 1, 2024 Accepting new patients
Northbay Health Medical Foundation CurrentSince Jan 1, 2026 Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1679 E Monte Vista Ave
Ste 104
Vacaville, CA 95688
Phone (707) 624-7400

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

101 Main St
Winters, CA 95694
Phone (530) 795-4123

Organizations & group practices 5

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": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1578920955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 DA VINCI CT",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956184860",
            "telephone_number": "530-752-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 DA VINCI CT",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956184860",
            "telephone_number": "530-752-1281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Shrader St",
            "address_2": "SUITE 578",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941171016",
            "country_code": "US",
            "telephone_number": "415-876-5762",
            "fax_number": "415-876-4538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3490 California St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94118",
            "country_code": "US",
            "telephone_number": "415-593-1134",
            "fax_number": "415-291-0489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADEGAST",
        "first_name": "SHERRIE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95003187",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.