Individual provider Active NPI

Sheri Leonard McRae, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, TN
National Provider Identifier
1902516644
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
32905 Issued in TN
Practice address
308 8TH St Ste B
Bristol, TN 37620-2228
Phone
(423) 530-3703
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 32905 TN Primary

Addresses

Primary practice location

308 8TH St Ste B
Bristol, TN 37620-2228

Mailing address

308 8TH St Ste B
Bristol, TN 37620-2228
Phone (423) 530-3703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230118000689 TN Practitioner - Nurse Practitioner 4183095763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Open Minds Psychiatric and MentalGroup PAC ID 4082085667, 9 clinicians

Practice addresses (Care Compare)

1241 Volunteer Pkwy
Suite 110
Bristol, TN 37620-4632
Phone (423) 530-3703

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32905TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Minds Psychiatric and Mental Psychiatric/Mental Health CurrentSince Oct 12, 2022 Accepting new patients

Locations

308 8th St
#B
Bristol, TN 37620
Phone (423) 530-3703

1241 Volunteer Pkwy
Bristol, TN 37620
Phone (423) 530-3703

1241 Volunteer Pkwy
Ste 110
Bristol, TN 37620
Phone (423) 530-3703

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1902516644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 8TH ST STE B",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376202228",
            "telephone_number": "423-530-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 8TH ST STE B",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376202228",
            "telephone_number": "423-530-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "SHERI",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "32905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.