Individual provider Active NPI

Sherry Limbaugh, FNP

  • Family Nurse Practitioner
  • Puxico, MO
National Provider Identifier
1992850457
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105542 Issued in MO
Practice address
130 E. Harbin
Puxico, MO 63960
Phone
(573) 222-3556
NPI assigned
Jan 24, 2007
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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 105542 MO Primary

Addresses

Primary practice location

130 E. Harbin
Puxico, MO 63960

Mailing address

28133 CR 223
Advance, MO 63730

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sherry.limbaugh.1@8825.direct.athenahealth.com

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
I20101122001234 MO Practitioner - Nurse Practitioner 5991991523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

610 N One Mile Rd
Dexter Medical Clinic
Dexter, MO 63841-2539
Phone (573) 624-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105542MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Poplar Bluff Regional Medical Center LLC Current Accepting new patients
Poplar Bluff Regional Medical Center LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sherry.limbaugh.1@8825.direct.athenahealth.com

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 8

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1992850457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28133 CR 223",
            "city": "ADVANCE",
            "state": "MO",
            "postal_code": "63730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E. HARBIN",
            "city": "PUXICO",
            "state": "MO",
            "postal_code": "63960",
            "telephone_number": "573-222-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMBAUGH",
        "first_name": "SHERRY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "105542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sherry.limbaugh.1@8825.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "610 N One Mile Rd",
            "city": "Dexter",
            "state": "MO",
            "country_code": "US",
            "postal_code": "638412539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Puxico, MO

Sources for this page

Verify at the official NPI Registry.