Active NPI
Sherry O'Brien, NURSE PRACTITIONER
- Family Nurse Practitioner
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10273
- Practice address
- 2000 S Thompson St
Flagstaff, AZ 86001-8759 - Phone
- (928) 226-6400
- Fax
- (928) 226-6411
- NPI assigned
- Dec 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN170043 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP10273 | AZ | Primary |
Addresses
Primary practice location
2000 S Thompson St
Flagstaff, AZ 86001-8759
Mailing address
PO Box 25816
Munds Park, AZ 86017-5816
Phone (480) 466-1311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z219446 | Other | AZ | MEDICARE |
| 282324 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medicalrecords@mountainheartcares.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
135 Professional Park Dr
Conway, SC 29526-9261
Phone (843) 347-2450
Hospital & facility affiliations
- Conway Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 56.55 of 100
- Quality
- 87.14
- Promoting interoperability
- 0
- Improvement activities
- 20
- Cost
- 76.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auc Urologists LLC | Current | Accepting new patients | |
| RHG of Arizona, PC | Current | Accepting new patients | |
| Valley Oximetry Incorporated | Past | Accepting new patients |
Locations
5656 S Power Rd
Ste 126
Gilbert, AZ 85295
20928 E Heritage Loop Rd
Ste 106
Queen Creek, AZ 85142
135 Professional Park Dr
Conway, SC 29526
Phone (843) 347-8765
3600 Sea Mountain Hwy
Ste D
Little River, SC 29566
Phone (843) 399-8930
1255 Tadlock Dr
Murrells Inlet, SC 29576
Phone (843) 293-0446
823 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 449-1010
611 Burroughs and Chapin Blvd
Ste 105
Myrtle Beach, SC 29577
309 Hinson Dr
Myrtle Beach, SC 29579
Phone (843) 236-4949
809 82nd Pkwy
Ste B
Myrtle Beach, SC 29572
Phone (843) 449-1010
Organizations & group practices 3
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.
-
- Urology Physician
- Conway, SC
- NPI 1780454017
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1013744218
-
- Sleep Disorder Diagnostic Clinic/Center
- Mesa, AZ
- NPI 1700844610
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1770958639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25816",
"city": "MUNDS PARK",
"state": "AZ",
"postal_code": "860175816",
"telephone_number": "480-466-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S THOMPSON ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860018759",
"telephone_number": "928-226-6400",
"fax_number": "928-226-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "SHERRY",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-03",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN170043",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP10273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z219446",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "282324",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medicalrecords@mountainheartcares.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2000 S Thompson St",
"city": "Flagstaff",
"state": "AZ",
"country_code": "US",
"postal_code": "860018759",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.