Jeffrey Anton Shideman, DNP, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

44709 Issued in WY

Practice address

61 S Gould St
Sheridan, WY 82801-6304

Phone

(307) 675-2690

NPI assigned

Oct 2, 2019

Last updated

Oct 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians

Memorial Hospital of Sheridan CountyGroup PAC ID 2163405440, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sheridan Memorial Hospital Hospital, Sheridan, WY, CCN 530006

Merit-based Incentive Payment System (MIPS)

Final score

86.66 of 100Reported as group

Quality

82.09

Promoting interoperability

98

Improvement activities

40

Cost

75.1

Merit-based Incentive Payment System (MIPS)

Final score

83.21 of 100Reported as group

Quality

80.49

Promoting interoperability

94

Improvement activities

40

Cost

68.55

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d7c7003a-96ae-4246-aaaa-19b18f13056e/
• Direct secure messaging: jshideman@sheridan.cernerdirect.com

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.

• Big Horn Health Network

  dba Sheridan Memorial Clinics

  • Internal Medicine Physician
  • Sheridan, WY
  • NPI 1861722688
  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Sheridan County

  dba Sheridan Memorial Hospital

  • General Acute Care Hospital
  • Sheridan, WY
  • NPI 1487707188
  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Sheridan County

  dba Sheridan Memorial Hospital Hospice

  • Community Based Hospice Care Agency
  • Sheridan, WY
  • NPI 1144359423
  NPD
• Sheridan Memorial Sameday Health & Imaging Urgent Care

  • Urgent Care Clinic/Center
  • Sheridan, WY
  • NPI 1124764915
  NPD
• Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Casper, WY
  • NPI 1811909807
  NPD (past)

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

• Memorial Hospital of Sheridan County

  dba Sheridan Memorial Hospital

  • General Acute Care Hospital
  • Sheridan, WY
  • NPI 1487707188
  Care Compare affiliation

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1699316430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W 5TH ST STE 110",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "telephone_number": "307-675-2650",
            "fax_number": "307-675-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S GOULD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016304",
            "telephone_number": "307-675-2690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 W 5TH ST, STE 112",
            "address_purpose": "LOCATION",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012752",
            "country_code": "US",
            "telephone_number": "307-675-2650",
            "fax_number": "307-675-2651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIDEMAN",
        "first_name": "JEFFREY",
        "middle_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "44709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154294000",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshideman@sheridan.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1333 W 5TH ST, STE 112",
            "city": "SHERIDAN",
            "state": "WY",
            "country_code": "US",
            "postal_code": "828012752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Geoffrey Sherman, PH.D.
• Sherwood Group, Inc (Sheridan Physical Therapy)
• Kent Andrew Sherwood, MS PT
• Kress Torney Sherwood, MS SLP
• John Wayne Shew, LPN
• Rosemary Therese Shiel
• Mia Shifrar
• Charles Dean Shipley, LPC
• Kenneth Wayne Sickel, PA-C
• Andrew Sickler, LPN

• Family Nurse Practitioner in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.

Verify at the official NPI Registry.