Individual provider Active NPI

Sherry E Motto, CRNA

  • Certified Registered Nurse Anesthetist
  • Muncie, IN
National Provider Identifier
1669551305
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28171266A Issued in IN
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

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000667522OtherINANTHEM PROVIDER NUMBER
200849250MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000795 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325092349 Reassigns benefits to 4 organizations

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
Midwest Gastroenterology LLCGroup PAC ID 5092051896, 8 clinicians
I Care Center Anesthesia LLCGroup PAC ID 0345776357, 3 clinicians
Indiana Anesthesia LLCGroup PAC ID 3274940846, 8 clinicians

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 100Reported as group
Quality
62.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
402718NYMDPsychiatric/Mental Health Nurse Practitioner
402718-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arnett Clinic, LLC Current Accepting new patients
Indiana Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Midwest Gastroenterology LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 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.

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.

Verify at the official NPI Registry.