Individual provider Active NPI

Sharon Nichelle Brown, AG-ACNP

  • Acute Care Nurse Practitioner
  • Lawton, OK
National Provider Identifier
1033837786
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
279396 Issued in AZ
Practice address
5508 SW Tyler Ave
Lawton, OK 73505-5040
Phone
(580) 291-6280
NPI assigned
Aug 18, 2022
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 279396 AZ Primary

Addresses

Primary practice location

5508 SW Tyler Ave
Lawton, OK 73505-5040

Mailing address

5508 SW Tyler Ave
Lawton, OK 73505-5040
Phone (580) 291-6280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20221118001609 AZ Practitioner - Nurse Practitioner 6002284296 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leading Healthcare PLLCGroup PAC ID 1850652496, 42 clinicians

Practice addresses (Care Compare)

22922 N 40TH PL
Phoenix, AZ 85050-8742
Phone (347) 309-3320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nextgen Post Acute Services PC Acute Care CurrentSince Dec 1, 2025 Accepting new patients
Edlc, LLC CurrentSince Sep 1, 2023 Accepting new patients
Leading Healthcare, LLC Acute Care CurrentSince May 15, 2024 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Dec 1, 2024 Accepting new patients
Nextgen Post Acute Services PC CurrentSince Dec 1, 2025 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Dec 1, 2024 Accepting new patients
Unomed LLC CurrentSince Oct 15, 2022 Accepting new patients
Signify Health, LLC PastSince Oct 15, 2022 Accepting new patients

Locations

13575 W McDowell Rd
Goodyear, AZ 85395
Phone (347) 309-3320

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

3000 N 91st Ave
Phoenix, AZ 85037
Phone (623) 281-3070

9200 N Central Ave
Ste 2
Phoenix, AZ 85020
Phone (480) 999-4954

7344 E Deer Valley Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 513-1042

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

2428 Bahama Dr
Dallas, TX 75211
Phone (214) 948-3811

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1033837786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 SW TYLER AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055040",
            "telephone_number": "580-291-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 SW TYLER AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055040",
            "telephone_number": "580-291-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHARON",
        "middle_name": "NICHELLE",
        "credential": "AG-ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "279396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.