Kenneth Shermer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00036257 Issued in WA

Practice address

600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800

Phone

(509) 662-6000

Fax

(509) 664-4590

NPI assigned

Nov 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of South Alabama College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Valley Community HealthGroup PAC ID 7113813874, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Confluence Health Hospital Hospital, Wenatchee, WA, CCN 500016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.shermer.1@10575.direct.athenahealth.com

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.

• Columbia Valley Community Health

  • Federally Qualified Health Center (FQHC)
  • Wenatchee, WA
  • NPI 1487650636
  Medicare reassignment Care Compare group NPD
• Columbia Valley Community Health

  • Federally Qualified Health Center (FQHC)
  • East Wenatchee, WA
  • NPI 1174417919
  NPD
• Columbia Valley Community Health

  • Federally Qualified Health Center (FQHC)
  • Chelan, WA
  • NPI 1356374698
  NPD

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

• Central Washington Health Services Association

  • General Acute Care Hospital
  • Wenatchee, WA
  • NPI 1306883228
  Care Compare affiliation

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1972594380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE",
            "address_2": "STE 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-662-6000",
            "fax_number": "509-664-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE",
            "address_2": "STE 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-662-6000",
            "fax_number": "509-664-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMER",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00036257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8228850",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sam Lynn Shearman, SUDT
• Abigail Marie Shepherd Beyenberg, PHD
• Gabrielle Sherer, M.S., R.D.N.
• Christi Lynn Sherman, D.O.
• Tyler A Sherman, D.O.
• Amy Jo Shields, RN
• Cheryl S Shih, MD
• Mark W Shipman, MD
• Melinda Shjandemaar, RN
• Shopko Stores Operating Co LLC

• Family Medicine Physician in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.