Individual provider Active NPI

Mark Sherberg, APRN

  • Nurse Practitioner
  • Quincy, WA
National Provider Identifier
1770023277
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61321571 Issued in WA
Practice address
1450 1St Ave SW
Quincy, WA 98848-1695
Phone
(589) 787-6423
NPI assigned
Mar 2, 2017
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61321571 WA Primary
Family Nurse Practitioner 363LF0000X 9359184 FL

Addresses

Primary practice location

1450 1St Ave SW
Quincy, WA 98848-1695

Mailing address

1450 1St Ave SW
Quincy, WA 98848-1695
Phone (509) 787-6423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NE, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170526001886 FL Practitioner - Nurse Practitioner 0345517140 Reassigns benefits to 3 organizations
I20210419000859 NE Practitioner - Nurse Practitioner 0345517140
I20240214002448 WA Practitioner - Nurse Practitioner 0345517140 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

311 S L St
Tacoma, WA 98405-3720

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

9420 N Newport Hwy
Suite 103
Spokane, WA 99218-1391
Phone (253) 403-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9359184FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC CurrentSince Mar 28, 2017 Accepting new patients
New Century Physicians of Nebraska LLC CurrentSince May 1, 2021 Accepting new patients
New Century Physicians of Nebraska LLC Current Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Mar 28, 2017 Accepting new patients
Multicare Health System CurrentSince Jul 19, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Brooks Management Inc CurrentSince Apr 10, 2018 Accepting new patients
Moses Lake Community Health Center CurrentSince Jan 2, 2024 Accepting new patients
Moses Lake Community Health Center CurrentSince Jan 2, 2024 Accepting new patients
Multicare Health System Nurse Practitioner CurrentSince Jul 19, 2024 Accepting new patients
Global Physician Network LLC Series II CurrentSince Aug 1, 2019 Accepting new patients
American Current Care of Washington, P.S. CurrentSince Feb 26, 2026 Accepting new patients
Brooks Management PastSince Apr 10, 2018 Accepting new patients
Alegent Creighton Clinic PastSince May 1, 2021 Accepting new patients

Locations

2919 26th St W
Bradenton, FL 34205
Phone (941) 755-2255

6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678

6331 S Tamiami Trl
#1
Sarasota, FL 34231
Phone (941) 917-5678

11969 Sheldon Rd
Tampa, FL 33626
Phone (863) 381-5606

3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500

200 N Bryant Ave
Ste 10
Edmond, OK 73034

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674

1450 1st Ave SW
Quincy, WA 98848
Phone (509) 787-6423

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: msherberg790893@direct.multicare.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1770023277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 1ST AVE SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481695",
            "telephone_number": "509-787-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 1ST AVE SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481695",
            "telephone_number": "589-787-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERBERG",
        "first_name": "MARK",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-02",
        "last_updated": "2024-01-11",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61321571",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9359184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, WA

Sources for this page

Verify at the official NPI Registry.