Healthcare Provider Details

I. General information

NPI: 1497060644
Provider Name (Legal Business Name): SHERRI MATHIES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERRI PERRY NP

II. Dates (important events)

Enumeration Date: 08/12/2010
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W 2ND ST
BLOOMINGTON IN
47403-2317
US

IV. Provider business mailing address

PO BOX 1149
BLOOMINGTON IN
47402-1149
US

V. Phone/Fax

Practice location:
  • Phone: 812-353-5246
  • Fax: 812-353-5267
Mailing address:
  • Phone: 812-353-3087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71003402A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71003402A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: