Individual provider Active NPI

David L Sherraden, PA

  • Physician Assistant
  • Pratt, KS
National Provider Identifier
1841373479
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500491 Issued in KS
Practice address
200 Commodore St
Pratt, KS 67124-2903
Phone
(620) 672-7451
NPI assigned
Oct 24, 2006
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
962063OtherNCCPA

Electronic endpoints 6

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503000974 KS Practitioner - Physician Assistant 0941240550 Reassigns benefits to 5 organizations

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
Morris County HospitalGroup PAC ID 8426096504, 13 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
1500491KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Morris County Hospital CurrentSince Oct 1, 2023 Accepting new patients
Morris County Hospital CurrentSince Oct 1, 2023 Accepting new patients
Pratt Regional Medical Center Corporation Current Accepting new patients
Pratt Regional Medical Center Corporation CurrentSince Dec 1, 1995 Accepting new patients
Sumner County Hospital District No 1 CurrentSince Aug 5, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.