MARK SHERBERG (APRN) – Nurse Practitioner, NPI 1770023277

MARK SHERBERG (APRN) is a healthcare provider. based in Tampa, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. AP61321571 (WA). The NPI Number for MARK SHERBERG (APRN) is 1770023277

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MARK SHERBERG (APRN)
NPI
1770023277
Phone
(813) 925-1903
Address
3301 W GANDY BLVD
Enumeration Date
2 March 2017
Last Update Date
11 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
0345517140
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20240214002448
Address ID
WA983351706GI4700XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for MARK SHERBERG (APRN)

  • 3301, West Gandy Boulevard, Tampa, Hillsborough County, Florida, 33611, United States

    TAMPA, FL 336112931

    Phone: (813) 925-1903

    Type: Mailing

  • 1450 1ST AVE SW

    QUINCY, WA 988481695

    Phone: (509) 787-6423

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170526001886INurse PractitionerFLTBD
I20210419000859INurse PractitionerNETBD
I20240214002448INurse PractitionerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

What number should I use to identify MARK SHERBERG (APRN) for billing?
Administrative and clinical systems typically use NPI 1770023277 for MARK SHERBERG (APRN).
Is MARK SHERBERG (APRN)'s NPI status active today?
Active status means MARK SHERBERG (APRN)'s NPI record is not deactivated in the public file.
What type of care does MARK SHERBERG (APRN) provide?
MARK SHERBERG (APRN)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARK SHERBERG (APRN)?
MARK SHERBERG (APRN) is associated with Tampa, Florida in the same public data insurers reference.
Can I export MARK SHERBERG (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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