Sheryl Ann Mulder, ARNP MSN FNPC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A074290 Issued in IA

Practice address

1005 Pennsylvania Ave
Suite 210
Ottumwa, IA 52501-6413

Phone

(641) 683-3195

Fax

(641) 683-3197

NPI assigned

Sep 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Sheryl Ann Veldhuizen Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sm3395@forefrontdermatology.emadirect.md

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Mount Pleasant, IA
  • NPI 1457191967
  Medicare reassignment Care Compare group NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Ottumwa, IA
  • NPI 1083155501
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Ottumwa Regional Health Center Inc

  • Home Health Agency
  • Ottumwa, IA
  • NPI 1750383055
  NPD (past)
• RCHP Ottumwa LLC

  • Multi-Specialty Clinic/Center
  • Ottumwa, IA
  • NPI 1548588171
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jefferson County Hospital

  • Critical Access Hospital
  • Fairfield, IA
  • NPI 1376648329
  Care Compare affiliation

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1962497438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-7190",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "address_2": "SUITE 210",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016413",
            "telephone_number": "641-683-3195",
            "fax_number": "641-683-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDER",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "credential": "ARNP MSN FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "074290",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A074290",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A074290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SM3395@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1005 Pennsylvania Ave",
            "address_2": "Suite 210",
            "city": "Ottumwa",
            "state": "IA",
            "country_code": "US",
            "postal_code": "525016413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "VELDHUIZEN",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keshia Moore, RN
• Robert Payson Moreland, O.D.
• Victoria Lynn Morris, FNP
• Laci Morrissey, M.A., LMHC, NCC
• Thomas Job Mukkada, MD
• Stacy L Murphy, APRN, PMHNP
• Kathleen T Murray, PHD
• Cassaundra M Mutum, DNP, ARNP-C
• Natasha Ann Myers, ARNP
• Cindy Nelson

• Nurse Practitioner in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.