Active NPI
Sherry E Motto, CRNA
- Certified Registered Nurse Anesthetist
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28171266A
- Practice address
- 5091 W Bethel Ave
Muncie, IN 47304-8511 - Phone
- (765) 286-8888
- NPI assigned
- Nov 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 402718-1 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 28171266A | IN | Primary |
Addresses
Primary practice location
5091 W Bethel Ave
Muncie, IN 47304-8511
Mailing address
PO Box 5545
Lafayette, IN 47903-5545
Phone (765) 448-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000667522 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200849250 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8051 S Emerson Ave
150 Sedation Services of Indiana LLC
Indianapolis, IN 46237-8635
Phone (317) 865-2955
9002 N Meridian St
Suite L22
Indianapolis, IN 46260-5391
Phone (317) 848-1763
9202 N Meridian St
Suite 150
Indianapolis, IN 46260-1833
Phone (317) 841-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.76 of 100
- Quality
- 62.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 402718 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 402718-1 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Indiana Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Midwest Gastroenterology LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
8051 S Emerson Ave
Ste 150
Indianapolis, IN 46237
Phone (317) 857-4024
9202 N Meridian St
Ste 150
Indianapolis, IN 46260
Phone (317) 841-2020
2600 Greenbush St
Lafayette, IN 47904
5091 W Bethel Ave
Ste 100
Muncie, IN 47304
Phone (765) 286-8888
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.
-
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
- NPI 1871182477
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1528550241
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
- NPI 1861215899
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1669551305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5545",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479035545",
"telephone_number": "765-448-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5091 W BETHEL AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473048511",
"telephone_number": "765-286-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTTO",
"first_name": "SHERRY",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "402718-1",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28171266A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000667522",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200849250",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.