Active NPI
Sherri Lynn Musholt, NP
- Gerontology Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 71012939A
- Practice address
- 2485 Directors Row Ste D
Indianapolis, IN 46241-4907 - Phone
- (317) 941-7338
- NPI assigned
- Jul 15, 2022
- Last updated
- Dec 18, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 28239524A | IN | |
| Gerontology Nurse Practitioner | 363LG0600X | 28239524A | IN | |
| Gerontology Nurse Practitioner | 363LG0600X | 71012939A | IN | Primary |
| Nurse Practitioner | 363L00000X | 71012939A | IN |
Addresses
Primary practice location
2485 Directors Row Ste D
Indianapolis, IN 46241-4907
Mailing address
2485 Directors Row Ste D
Indianapolis, IN 46241-4907
Phone (317) 941-7338
Other practice location 1
1801 N Senate Blvd Ste 3300
Indianapolis, IN 46202-1184
Phone (317) 962-0280
Other names 1
- Sherri Lynn Russell
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smusholt@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
1801 N Senate Blvd
Indianapolis, IN 46202-1184
Phone (317) 962-0280
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.42 of 100
- Quality
- 55.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28239524A | IN | MD | Acute Care Nurse Practitioner |
| 71012939A | IN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| University Vascular Surgery, Inc | Current | Accepting new patients | |
| Proactive Clinical Partners | Gerontology | Current | Accepting new patients |
| Proactive Clinical Partners - Aco | Current | Accepting new patients |
Locations
1115 Ronald Reagan Pkwy
Ste 141
Avon, IN 46123
Phone (317) 217-2700
1108 Kingwood Dr
Avon, IN 46123
Phone (317) 204-1100
1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000
11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000
11725 Illinois St
Carmel, IN 46032
Phone (317) 688-4864
2485 Directors Row
Ste D
Indianapolis, IN 46241
Phone (317) 941-7331
1801 N Senate Blvd
Ste 3300
Indianapolis, IN 46202
Phone (317) 948-0944
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
937 E 186th St
Westfield, IN 46074
Phone (317) 804-1123
Interoperability endpoints
- smusholt@direct.iuhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Nurse Practitioner
-
- Vascular Surgery Physician
- Indianapolis, IN
- NPI 1043328487
-
- Gerontology Nurse Practitioner
- Indianapolis, IN
- NPI 1366934242
-
- Geriatric Medicine (Internal Medicine) Physician
- Indianapolis, IN
- NPI 1821709031
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba IU Health West Hospital
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
dba Iu Health Bloomington
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1649904541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 DIRECTORS ROW STE D",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462414907",
"telephone_number": "317-941-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 DIRECTORS ROW STE D",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462414907",
"telephone_number": "317-941-7338"
}
],
"practiceLocations": [
{
"address_1": "1801 N Senate Blvd Ste 3300",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021184",
"country_code": "US",
"telephone_number": "317-962-0280",
"fax_number": "317-962-0289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUSHOLT",
"first_name": "SHERRI",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "28239524A",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IN",
"license": "28239524A",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IN",
"license": "71012939A",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71012939A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smusholt@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1801 N Senate Blvd Ste 3300",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021184",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHERRI",
"last_name": "RUSSELL",
"middle_name": "LYNN",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.