Active NPI
Cynthia Lucille Sherwood, FNP-BC
- Family Nurse Practitioner
- Baldwin, MI
National Provider Identifier
1942554050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704091379
- Practice address
- 1615 Michigan Ave
Baldwin, MI 49304-7984 - Phone
- (231) 745-4624
- Fax
- (231) 745-5031
- NPI assigned
- Oct 29, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 26
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.
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Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171005000060 | TX | Practitioner - Nurse Practitioner | 3678718293 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
Locations
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
Interoperability endpoints
- csherwood@direct-searhc.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704091379 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1615 Michigan Ave
Baldwin, MI 49304-7984
Mailing address
1100 S Van Dyke
Bad Axe, MI 48413
Phone (989) 269-9521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1942554050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S VAN DYKE",
"city": "BAD AXE",
"state": "MI",
"postal_code": "48413",
"telephone_number": "989-269-9521",
"fax_number": "989-269-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 MICHIGAN AVE",
"city": "BALDWIN",
"state": "MI",
"postal_code": "493047984",
"telephone_number": "231-745-4624",
"fax_number": "231-745-5031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWOOD",
"first_name": "CYNTHIA",
"middle_name": "LUCILLE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704091379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.