Active NPI
Mark Sherberg, APRN
- Nurse Practitioner
- Quincy, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61321571
- Practice address
- 1450 1St Ave SW
Quincy, WA 98848-1695 - Phone
- (589) 787-6423
- NPI assigned
- Mar 2, 2017
- Last updated
- Jan 11, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9359184 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Brooks Management Inc | Current | Accepting new patients | |
| Moses Lake Community Health Center | Current | Accepting new patients | |
| Moses Lake Community Health Center | Current | Accepting new patients | |
| Multicare Health System | Nurse Practitioner | Current | Accepting new patients |
| Global Physician Network LLC Series II | Current | Accepting new patients | |
| American Current Care of Washington, P.S. | Current | Accepting new patients | |
| Brooks Management | Past | Accepting new patients | |
| Alegent Creighton Clinic | Past | 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
- 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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Federally Qualified Health Center (FQHC)
- Moses Lake, WA
- NPI 1699862813
-
- Clinical Medical Laboratory
- Bradenton, FL
- NPI 1699031880
-
- Emergency Medicine Physician
- Sarasota, FL
- NPI 1821518028
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Seattle, WA
- NPI 1073096871
-
dba Fast Track Urgent Care Center
- General Practice Physician
- Tampa, FL
- NPI 1033247580
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Spokane, WA
- NPI 1881177681
-
dba Quincy Student Health and Wellness Center
- Student Health Clinic/Center
- Quincy, WA
- NPI 1730756644
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Kent MultiCare Clinic
- Family Medicine Physician
- Kent, WA
- NPI 1811949928
Nurse Practitioner
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1013916600
-
- Emergency Medicine Physician
- Papillion, NE
- NPI 1063411833
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Deaconess Hospital
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.