Sharon Amy Goretsky, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0017139135 Issued in VA

Practice address

6025 Providence Rd
Suite 110
Virginia Beach, VA 23464-3808

Phone

(757) 474-0600

Fax

(757) 474-1903

NPI assigned

Jun 3, 2008

Last updated

Jun 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians

Mid-Atlantic Post Acute and Long Term Care PLLCGroup PAC ID 0648530782, 142 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mid-Atlantic Post Acute & Long Term Care PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Norfolk, VA
  • NPI 1225557556
  Medicare reassignment Care Compare group NPD
• SE Virginia Value Based Care, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Norfolk, VA
  • NPI 1225720501
  Medicare reassignment Care Compare group NPD
• Integrated Medical Services PLC

  • Specialist
  • Virginia Beach, VA
  • NPI 1770596306
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1093974214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 PROVIDENCE RD",
            "address_2": "SUITE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643808",
            "telephone_number": "757-474-0600",
            "fax_number": "757-474-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 PROVIDENCE RD",
            "address_2": "SUITE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643808",
            "telephone_number": "757-474-0600",
            "fax_number": "757-474-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORETSKY",
        "first_name": "SHARON",
        "middle_name": "AMY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0017139135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Gordon
• Phillisha Abbigaye Gordon
• Sharon M Gordon, O.D.
• Gordon's Home Healthcare, LLC
• Stacy Goree
• Alrica Gorham
• Eric Gorham
• Brittany Gorman
• Donna C Gorman, OTR
• Gos Virginia Beach PLLC

• Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.