Individual provider Active NPI

Sheryl Ann Vinci, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1710403282
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71010788A Issued in IN
Practice address
707 N Michigan St Ste 400
South Bend, IN 46601-1071
Phone
(574) 647-8470
Fax
(574) 647-8475
NPI assigned
Aug 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71010788A IN Primary
Family Nurse Practitioner 363LF0000X AP134743 TX

Addresses

Primary practice location

707 N Michigan St Ste 400
South Bend, IN 46601-1071

Mailing address

1300 Rollingbrook Dr Ste 508
Baytown, TX 77521-3846
Phone (281) 837-6463

Other practice location 1

1300 Rollingbrook Dr Ste 508
Baytown, TX 77521-3846
Phone (281) 837-6463

Other names 1

  • Sheryl Ann Silbaugh Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218001457 IN Practitioner - Nurse Practitioner 6507196359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

707 N Michigan St
400 BMG Behavioral Health South Bend
South Bend, IN 46601-1071
Phone (574) 647-8470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71010788AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Psychiatric/Mental Health CurrentSince Dec 31, 2023 Accepting new patients
Aims, LLC CurrentSince Feb 1, 2021 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Beacon Medical Group Inc CurrentSince Dec 31, 2023 Accepting new patients
Aims-Med, LLC PastSince Sep 17, 2023 Accepting new patients
Mohamed S Ahmed MD PA Past Accepting new patients

Locations

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400

111 E 3rd St
Unit 764
Mishawaka, IN 46546

707 N Michigan St
Ste 400
South Bend, IN 46601
Phone (574) 647-4500

Organizations & group practices 6

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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1710403282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ROLLINGBROOK DR STE 508",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213846",
            "telephone_number": "281-837-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MICHIGAN ST STE 400",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011071",
            "telephone_number": "574-647-8470",
            "fax_number": "574-647-8475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Rollingbrook Dr Ste 508",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775213846",
            "country_code": "US",
            "telephone_number": "281-837-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCI",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71010788A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "SILBAUGH",
            "middle_name": "ANN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.