Active NPI
David L Sherraden, PA
- Physician Assistant
- Pratt, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1500491
- Practice address
- 200 Commodore St
Pratt, KS 67124-2903 - Phone
- (620) 672-7451
- NPI assigned
- Oct 24, 2006
- Last updated
- Mar 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1500491 | KS | Primary |
Addresses
Primary practice location
200 Commodore St
Pratt, KS 67124-2903
Mailing address
200 Commodore St
Pratt, KS 67124-2903
Phone (620) 672-7451
Other practice location 1
124 Commodore St Ste B
Pratt, KS 67124-2995
Phone (620) 672-6454
Other practice location 2
203 Watson St Ste 300
Pratt, KS 67124-3092
Phone (620) 672-1002
Other practice location 3
802 W Broadway St
Stafford, KS 67578-1402
Phone (620) 234-6826
Other practice location 4
609 E 1st Ave
St John, KS 67576-2223
Phone (620) 549-3251
Other practice location 5
1206 W Frontview St Ste 202204
Dodge City, KS 67801-2016
Phone (620) 371-7270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 962063 | Other | NCCPA |
Electronic endpoints 6
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | david.sherraden.2@14930.direct.athenahealth.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | david.sherraden.1@14930.direct.athenahealth.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | david.sherraden.1@14930.direct.athenahealth.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | david.sherraden.3@14930.direct.athenahealth.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | david.sherraden.1@14930.direct.athenahealth.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | david.sherraden.1@14930.direct.athenahealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- 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
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
411 Walnut St
MCH Professional Services
Cottonwood Falls, KS 66845-2818
Phone (620) 767-5126
600 N Washington St
Council Grove, KS 66846-1422
Phone (620) 767-6811
604 N Washington St
Council Grove, KS 66846-1422
Phone (620) 767-5126
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.83 of 100
- Quality
- 82.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1500491 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morris County Hospital | Current | Accepting new patients | |
| Morris County Hospital | Current | Accepting new patients | |
| Pratt Regional Medical Center Corporation | Current | Accepting new patients | |
| Pratt Regional Medical Center Corporation | Current | Accepting new patients | |
| Sumner County Hospital District No 1 | Current | Accepting new patients | |
| Pratt Regional Medical Center Corporation | Past | Accepting new patients | |
| Morris County Hospital | Past | Accepting new patients | |
| St Catherine Hospital | Past | Accepting new patients |
Locations
761 W 175th St S
Caldwell, KS 67022
Phone (620) 845-6492
411 S Walnut St
Cottonwood Falls, KS 66845
Phone (620) 273-6131
600 N Washington St
Council Grove, KS 66846
Phone (620) 767-5126
604 N Washington St
Council Grove, KS 66846
Phone (620) 767-5126
1206 W Frontview St
Ste 202204
Dodge City, KS 67801
Phone (620) 371-7270
1206 W Frontview St
Ste 203
Dodge City, KS 67801
Phone (620) 225-7710
124 Commodore St
Ste B
Pratt, KS 67124
Phone (620) 393-5661
200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476
203 Watson St
Ste 300
Pratt, KS 67124
Phone (620) 672-1002
609 E 1st Ave
St John, KS 67576
Phone (620) 549-3251
802 W Broadway St
Stafford, KS 67578
Phone (620) 234-6826
Interoperability endpoints
- david.sherraden.1@14930.direct.athenahealth.com
Organizations & group practices 11
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 MCH Professional Services
- Family Medicine Physician
- Council Grove, KS
- NPI 1295217305
-
dba Pratt Regional Medical Center
- Rural Acute Care Hospital
- Pratt, KS
- NPI 1578596904
-
- Critical Access Hospital
- Council Grove, KS
- NPI 1750314720
-
dba Caldwell Regional Medical Center
- Critical Access Hospital
- Caldwell, KS
- NPI 1215094438
-
- Urgent Care Clinic/Center
- Topeka, KS
- NPI 1457970782
-
dba MCH Clinic Herington
- Family Medicine Physician
- Herington, KS
- NPI 1154271583
-
dba PRMC Infusion and Wound Care Clinic
- Infusion Therapy Clinic/Center
- Pratt, KS
- NPI 1689246753
-
dba Caldwell Family Clinic
- Rural Health Clinic/Center
- Caldwell, KS
- NPI 1881327153
-
- Medicare Defined Swing Bed Hospital Unit
- Council Grove, KS
- NPI 1396759528
-
dba Surgicenter
- Surgery Physician
- Pratt, KS
- NPI 1053346163
-
dba St Catherine Emergency Physicians
- Emergency Medicine Physician
- Garden City, KS
- NPI 1942413372
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Council Grove, KS
- NPI 1750314720
-
dba Pratt Regional Medical Center
- Rural Acute Care Hospital
- Pratt, KS
- NPI 1578596904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1841373479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 COMMODORE ST",
"city": "PRATT",
"state": "KS",
"postal_code": "671242903",
"telephone_number": "620-672-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 COMMODORE ST",
"city": "PRATT",
"state": "KS",
"postal_code": "671242903",
"telephone_number": "620-672-7451"
}
],
"practiceLocations": [
{
"address_1": "124 Commodore St Ste B",
"address_purpose": "LOCATION",
"city": "Pratt",
"state": "KS",
"postal_code": "671242995",
"country_code": "US",
"telephone_number": "620-672-6454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "203 Watson St Ste 300",
"address_purpose": "LOCATION",
"city": "Pratt",
"state": "KS",
"postal_code": "671243092",
"country_code": "US",
"telephone_number": "620-672-1002",
"fax_number": "620-450-1741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "802 W Broadway St",
"address_purpose": "LOCATION",
"city": "Stafford",
"state": "KS",
"postal_code": "675781402",
"country_code": "US",
"telephone_number": "620-234-6826",
"fax_number": "620-234-5014",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "609 E 1st Ave",
"address_purpose": "LOCATION",
"city": "St John",
"state": "KS",
"postal_code": "675762223",
"country_code": "US",
"telephone_number": "620-549-3251",
"fax_number": "620-549-3853",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1206 W Frontview St Ste 202204",
"address_purpose": "LOCATION",
"city": "Dodge City",
"state": "KS",
"postal_code": "678012016",
"country_code": "US",
"telephone_number": "620-371-7270",
"fax_number": "620-371-7273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHERRADEN",
"first_name": "DAVID",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1500491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "962063",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david.sherraden.2@14930.direct.athenahealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "609 E 1st Ave",
"city": "St John",
"state": "KS",
"country_code": "US",
"postal_code": "675762223",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david.sherraden.1@14930.direct.athenahealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "124 Commodore St Ste B",
"city": "Pratt",
"state": "KS",
"country_code": "US",
"postal_code": "671242995",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david.sherraden.1@14930.direct.athenahealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "802 W Broadway St",
"city": "Stafford",
"state": "KS",
"country_code": "US",
"postal_code": "675781402",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david.sherraden.3@14930.direct.athenahealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "203 Watson St Ste 300",
"city": "Pratt",
"state": "KS",
"country_code": "US",
"postal_code": "671243092",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david.sherraden.1@14930.direct.athenahealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1206 W Frontview St Ste 202204",
"city": "Dodge City",
"state": "KS",
"country_code": "US",
"postal_code": "678012016",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david.sherraden.1@14930.direct.athenahealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "200 Commodore St",
"city": "Pratt",
"state": "KS",
"country_code": "US",
"postal_code": "671242903",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pratt, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.