Individual provider Active NPI

Sherrie P McCaskill, NURSE PRACTIONER

  • Nurse Practitioner
  • Wingate, NC
National Provider Identifier
1841310620
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201665 Issued in NC
Practice address
109 N. Camden Rd.
Wingate University Health Center
Wingate, NC 28174-2817
Phone
(704) 233-8102
Fax
(704) 233-8104
NPI assigned
Mar 29, 2007
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201665 NC Primary

Addresses

Primary practice location

109 N. Camden Rd.
Wingate University Health Center
Wingate, NC 28174-2817

Mailing address

Campus Box 3037
Wingage University
Wingate, NC 28174
Phone (704) 233-8102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260413002646 NC Practitioner - Nurse Practitioner 6507331915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

109 N Camden Rd
Wingate, NC 28174-9643

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wingate University Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1841310620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAMPUS BOX 3037",
            "address_2": "WINGAGE UNIVERSITY",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "28174",
            "telephone_number": "704-233-8102",
            "fax_number": "704-233-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N. CAMDEN RD.",
            "address_2": "WINGATE UNIVERSITY HEALTH CENTER",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281742817",
            "telephone_number": "704-233-8102",
            "fax_number": "704-233-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASKILL",
        "first_name": "SHERRIE",
        "middle_name": "P",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wingate, NC

Sources for this page

Verify at the official NPI Registry.