Individual provider Active NPI

Sherry Lynn Mongold, N.P.

  • Family Nurse Practitioner
  • Harrisonburg, VA
National Provider Identifier
1770670465
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024134702 Issued in VA
Practice address
2291 Evelyn Byrd Ave
Harrisonburg, VA 22801-5424
Phone
(540) 564-5790
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 0024134702 VA
Family Nurse Practitioner 363LF0000X 0024134702 VA Primary

Addresses

Primary practice location

2291 Evelyn Byrd Ave
Harrisonburg, VA 22801-5424

Mailing address

2291 Evelyn Byrd Ave
Harrisonburg, VA 22801-5424
Phone (540) 564-5790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220712002525 VA Practitioner - Nurse Practitioner 7113307893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

Practice addresses (Care Compare)

2291 Evelyn Byrd Ave
Harrisonburg, VA 22801-5424
Phone (540) 534-6335

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024134702VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC CurrentSince Aug 16, 2022 Accepting new patients
RMH Medical Group LLC CurrentSince Apr 20, 2024 Accepting new patients
RMH Medical Group LLC CurrentSince Apr 20, 2024 Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

2291 Evelyn Byrd Ave
Harrisonburg, VA 22801
Phone (540) 434-3831

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

6353 Center Dr
Ste 100
Norfolk, VA 23502
Phone (571) 356-9735

Interoperability endpoints

  • Direct secure messaging: smongold880030@direct.sentara.net

Organizations & group practices 4

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.

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1770670465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 EVELYN BYRD AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015424",
            "telephone_number": "540-564-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 EVELYN BYRD AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015424",
            "telephone_number": "540-564-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGOLD",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024134702",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024134702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.