Individual provider Active NPI

Sherri Lynn Hedges, APRN, FNP, BC

  • Family Nurse Practitioner
  • Milan, MO
National Provider Identifier
1922293109
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
137806 Issued in MO
Practice address
210 N Market St
Milan, MO 63556-1316
Phone
(660) 265-4456
Fax
(660) 265-4627
NPI assigned
Sep 11, 2007
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 137806 MO Primary

Addresses

Primary practice location

210 N Market St
Milan, MO 63556-1316

Mailing address

210 N Market St
Milan, MO 63556-1316

Other identifiers 1

IdentifierTypeStateIssuer
424469906MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20071023000028 MO Practitioner - Nurse Practitioner 8921194903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sullivan County Memorial HospitalGroup PAC ID 7810973252, shared by 6 NPIs, 17 clinicians

Practice addresses (Care Compare)

210 N Market St
Milan, MO 63556-1316
Phone (660) 265-4456

630 W 3Rd St
Milan, MO 63556-1076
Phone (660) 265-4212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sullivan County Memorial Hospital CurrentSince Dec 1, 2025 Accepting new patients
Sullivan County Memorial Hospital CurrentSince Oct 1, 2015 Accepting new patients

Locations

210 N Market St
Milan, MO 63556
Phone (660) 265-4456

630 W 3rd St
Milan, MO 63556
Phone (660) 265-1077

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sulliva-d2785c8f

Organizations & group practices 2

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 4

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1922293109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N MARKET ST",
            "city": "MILAN",
            "state": "MO",
            "postal_code": "635561316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MARKET ST",
            "city": "MILAN",
            "state": "MO",
            "postal_code": "635561316",
            "telephone_number": "660-265-4456",
            "fax_number": "660-265-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "SHERRI",
        "middle_name": "LYNN",
        "credential": "APRN, FNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "137806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424469906",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, MO

Sources for this page

Verify at the official NPI Registry.