Individual provider Active NPI

Sharon Molok, APRN

  • Family Nurse Practitioner
  • Mount Dora, FL
National Provider Identifier
1073148672
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006717 Issued in FL
Practice address
18550 US Highway 441
Mount Dora, FL 32757-6751
Phone
(352) 735-3755
NPI assigned
Mar 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11006717 FL Primary
Family Nurse Practitioner 363LF0000X PENDING FL

Addresses

Primary practice location

18550 US Highway 441
Mount Dora, FL 32757-6751

Mailing address

18550 US Highway 441
Mount Dora, FL 32757-6751
Phone (352) 735-3755

Other practice location 1

16400 S Highway 25
Weirsdale, FL 32195-2442
Phone (352) 821-9797

Other practice location 2

390 S Central Ave
Umatilla, FL 32784-9602
Phone (352) 669-3175

Other identifiers 1

IdentifierTypeStateIssuer
105995400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200408000892 FL Practitioner - Nurse Practitioner 0143659425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of Central Florida, LLCGroup PAC ID 5395712764, 10 clinicians

Practice addresses (Care Compare)

18550 US Hwy 441
Mount Dora, FL 32757-6751
Phone (352) 735-3755

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11006717FLMDFamily Nurse Practitioner
PENDINGFLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louis J Radnothy DO PA CurrentSince Apr 1, 2020 Accepting new patients
Physicians of Central Florida PA CurrentSince Nov 1, 2020 Accepting new patients
Physicians of Central Florida, LLC CurrentSince Nov 1, 2020 Accepting new patients
Weirsdale Family Health Center Inc PastSince May 1, 2013 Accepting new patients

Locations

18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755

390 S Central Ave
Umatilla, FL 32784
Phone (352) 669-3175

16400 S Highway 25
Weirsdale, FL 32195
Phone (352) 821-9797

Interoperability endpoints

  • Direct secure messaging: smolok562687@direct.shands.ufl.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECJJAD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1073148672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18550 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576751",
            "telephone_number": "352-735-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18550 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576751",
            "telephone_number": "352-735-3755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16400 S Highway 25",
            "address_purpose": "LOCATION",
            "city": "Weirsdale",
            "state": "FL",
            "postal_code": "321952442",
            "country_code": "US",
            "telephone_number": "352-821-9797",
            "fax_number": "352-821-0553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Umatilla",
            "state": "FL",
            "postal_code": "327849602",
            "country_code": "US",
            "telephone_number": "352-669-3175",
            "fax_number": "352-669-3640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLOK",
        "first_name": "SHARON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006717",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "PENDING",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105995400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.