SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC) – Acute Care Nurse Practitioner, NPI 1215952965

SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC) is a healthcare provider. based in Texarkana, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, MSN, ACNP-BC. They hold a License No. 658 (CO). The NPI Number for SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC) is 1215952965

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC)
NPI
1215952965
Phone
(903) 614-5180
Address
2602 Saint Michael Dr Ste 302B
Enumeration Date
13 July 2006
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036145250
Graduation Year
2006 (20 years ago)
PAC ID
1052407046
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20071023000087
Address ID
TX755032372TE2600XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:19State licenses:3Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC)

  • 2602 Saint Michael Dr Ste 302B

    Texarkana, TX 755035228

    Phone: (903) 614-5180

    Fax: (903) 614-5169

    Type: Location

  • 2001 N JEFFERSON AVE STE 204B

    MOUNT PLEASANT, TX 754552310

    Phone: (903) 577-6290

    Fax: (903) 577-6245

    Type: Location

  • Arapahoe Avenue, Boulder, Boulder County, Colorado, 80303-1229, United States

    BOULDER, CO 803031128

    Phone: (303) 835-0936

    Fax: (303) 998-0007

    Type: Mailing

  • 302, Saint Michael Drive, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755035228

    Phone: (903) 614-5180

    Fax: (903) 614-5169

    Type: Location

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: 2007-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20071023000087INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9592$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7641$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes6868$0
99212Established patient office or other outpatient visit, 10-19 minutes3126$0
99238Hospital discharge day management, 30 minutes or less2827$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

What is the registry number for SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC)?
The registry entry for SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC) shows NPI 1215952965.
Quick check: is SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC) active?
Public NPPES data shows SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC) with an active NPI status right now.
Which specialty label fits SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC)?
NPPES ties SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC)?
SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC) shows a connection to Texarkana, Texas in registry-derived data.
Who maintains SHERRY LYNN MISSILDINE (RN, MSN, ACNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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