NPIMap

Individual provider Active NPI

Michele St.Clair Sherrill, FNP-BC

  • Family Nurse Practitioner
  • Wilkesboro, NC
National Provider Identifier
1639345432
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5003976 Issued in NC
Practice address
1605 Curtis Bridge Rd
Wilkesboro, NC 28697-2231
Phone
(336) 658-5691
Fax
(336) 658-5694
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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 5003976 NC Primary

Addresses

Primary practice location

1605 Curtis Bridge Rd
Wilkesboro, NC 28697-2231

Mailing address

1605 Curtis Bridge Rd
Wilkesboro, NC 28697-2231
Phone (336) 658-5691

Other identifiers 3

IdentifierTypeStateIssuer
7004293MedicaidNC
71-0941094OtherNCHEALTHWORKS MEDICAL GROUP OF NORTH CAROLINA PC
2593541OtherNCMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090324000632 NC Practitioner - Nurse Practitioner 9234296906 Reassigns benefits to 2 organizations
I20260501001151 SC Practitioner - Nurse Practitioner 9234296906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, shared by 56 NPIs, 2,324 clinicians

Practice addresses (Care Compare)

10620 Park Rd
Suite 202
Charlotte, NC 28210-0106
Phone (704) 667-0920

123 Professional Park Dr
Locust, NC 28097-7712
Phone (704) 403-6760

704 Gold Hill Rd
Suite 1200
Fort Mill, SC 29715-8906
Phone (704) 667-3380

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Dec 2, 2024 Accepting new patients
Carolinas Physicians Network, Inc CurrentSince Dec 2, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 2, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients

Locations

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

2090 S US 29 Hwy
China Grove, NC 28023
Phone (704) 403-6800

270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060

123 Professional Park Dr
Locust, NC 28097
Phone (704) 403-6760

704 Gold Hill Rd
Ste 1200
Fort Mill, SC 29715
Phone (704) 667-3380

Interoperability endpoints

  • Direct secure messaging: msherrill2952132@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1639345432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 CURTIS BRIDGE RD",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972231",
            "telephone_number": "336-658-5691",
            "fax_number": "336-658-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 CURTIS BRIDGE RD",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972231",
            "telephone_number": "336-658-5691",
            "fax_number": "336-658-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "MICHELE",
        "middle_name": "ST.CLAIR",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5003976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004293",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHWORKS MEDICAL GROUP OF NORTH CAROLINA PC",
            "identifier": "71-0941094",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2593541",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.