Individual provider Active NPI

Sharon Ann Mitchell, FNP

  • Primary Care Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1043938905
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN-0997915-NP Issued in CO
Practice address
8540 Scarborough Dr Ste 370
Colorado Springs, CO 80920-7519
Phone
(719) 358-8270
Fax
(719) 358-8299
NPI assigned
Aug 17, 2022
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X APN-0997915-NP CO Primary

Addresses

Primary practice location

8540 Scarborough Dr Ste 370
Colorado Springs, CO 80920-7519

Mailing address

8540 Scarborough Dr
Colorado Springs, CO 80920-7502
Phone (719) 358-8270

Other practice location 1

8540 Scarborough Dr Ste 370
Colorado Springs, CO 80920-7519
Phone (719) 287-0823

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CORHIO Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220915002440 CO Practitioner - Nurse Practitioner 7214312974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gorman Medical LLCGroup PAC ID 1557583135, 10 clinicians

Practice addresses (Care Compare)

412 N C St
Gorman Medical Cripple Creek
Cripple Creek, CO 80813-5052
Phone (719) 820-7740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN-0997915-NPCOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gorman Medical LLC Single Specialty CurrentSince Aug 1, 2022 Accepting new patients

Locations

8540 Scarborough Dr
Colorado Springs, CO 80920
Phone (719) 358-8270

8540 Scarborough Dr
Ste 370
Colorado Springs, CO 80920
Phone (719) 358-8270

8540 Scarborough Dr
Ste 270
Colorado Springs, CO 80920

Organizations & group practices 1

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": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1043938905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207502",
            "telephone_number": "719-358-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DR STE 370",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207519",
            "telephone_number": "719-358-8270",
            "fax_number": "719-358-8299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8540 Scarborough Dr Ste 370",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207519",
            "country_code": "US",
            "telephone_number": "719-287-0823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHARON",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "APN-0997915-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CORHIO",
            "affiliation": "N",
            "endpointDescription": "Health Information exchange",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "infogorman.medical@gmail.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8540 Scarborough Dr Ste 370",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809207519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.