Sharon Nichelle Brown, AG-ACNP
Individual provider Active NPI Acute Care Nurse Practitioner · Lawton, OK
NPI 1033837786 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1033837786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 279396 (AZ)
- Practice address
- 5508 SW Tyler Ave
Lawton, OK 73505-5040 - Phone
- (580) 291-6280
- NPI assigned
- Aug 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Leading Healthcare PLLC
Practice addresses (Care Compare)
22922 N 40TH PL
Phoenix, AZ 85050-8742
Phone (347) 309-3320
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221118001609 | AZ | Practitioner - Nurse Practitioner | 6002284296 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextgen Post Acute Services PC | Current |
Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current |
Accepting new patients | |
| Unomed LLC | Current |
Accepting new patients | |
| Edlc, LLC | Current |
Accepting new patients | |
| Banner - University Hospital Based Physicians LLC | Current |
Accepting new patients | |
| Nextgen Post Acute Services PC | Acute Care | Current |
Accepting new patients |
| Leading Healthcare, LLC | Acute Care | Current |
Accepting new patients |
| Signify Health, LLC | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 279396 | AZ | Yes |
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
Other providers in Lawton, OK
- Johnnie Lanell Brown
- Keely Brown
- Nachelle D Brown
- Ranikki H. Brown
- Robert Brown
- Tressie Brown
- Susan Browning
- Bruce K. Reeder, DDS, PC
- Shawn Allen Brue
- Gayla Brum
All providers in Lawton, OK · Acute Care Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.