Individual provider Active NPI

Sherry L Schwartz, RN BSN BC FNP

  • Family Nurse Practitioner
  • Sedalia, MO
National Provider Identifier
1659544914
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2003001866 Issued in MO
Practice address
3700 W 10TH St
Sedalia, MO 65301-2540
Phone
(660) 827-2500
Fax
(573) 557-2401
NPI assigned
Apr 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 2003001866 MO Primary

Addresses

Primary practice location

3700 W 10TH St
Sedalia, MO 65301-2540

Mailing address

3700 W 10TH St
Sedalia, MO 65301-2540
Phone (660) 827-2500

Other identifiers 2

IdentifierTypeStateIssuer
429220908MedicaidMO
2003001866OtherMOLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20081017000211 MO Practitioner - Nurse Practitioner 1052479227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bothwell Regional Health CenterGroup PAC ID 6103714126, 109 clinicians

Practice addresses (Care Compare)

3300 W 10TH St
Bothwell Surgical SVCS of Sedalia
Sedalia, MO 65301-2111
Phone (660) 827-0423

3700 W 10TH St
Sedalia, MO 65301-2540

601 E 14TH St
Sedalia, MO 65301-5972

Hospital & facility affiliations

  • Elara Caring Home health agency, Jefferson City, MO, CCN 267600
  • Bothwell Regional Health Center Hospital, Sedalia, MO, CCN 260009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bothwell Regional Health Center Current Accepting new patients
Bothwell Regional Health Center CurrentSince May 22, 2019 Accepting new patients
Bothwell Regional Health Center CurrentSince May 22, 2019 Accepting new patients

Locations

3700 W 10th St
Sedalia, MO 65301
Phone (660) 826-8833

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

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.

Hospital & facility affiliations 3

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": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1659544914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012540",
            "telephone_number": "660-827-2500",
            "fax_number": "660-827-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012540",
            "telephone_number": "660-827-2500",
            "fax_number": "573-557-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "SHERRY",
        "middle_name": "L",
        "credential": "RN BSN BC FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2003001866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429220908",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2003001866",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.