Individual provider Active NPI

Sharon Lynn Maxwell, PA-C, MPAS

  • Physician Assistant
  • Fallon, NV
National Provider Identifier
1144200304
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1033 Issued in NV
Practice address
801 E Williams Ave
Fallon, NV 89406-3052
Phone
(775) 423-3151
Fax
(775) 423-9366
NPI assigned
Jan 21, 2006
Last updated
Nov 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1033 NV Primary

Addresses

Primary practice location

801 E Williams Ave
Fallon, NV 89406-3052

Mailing address

801 E Williams Ave
Fallon, NV 89406-3052
Phone (775) 423-3151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20070404000349 NV Practitioner - Physician Assistant 2163526963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1260 Nevada Pacific Blvd
Fernley, NV 89408-9871
Phone (775) 575-7171

801 E Williams Ave
Fallon, NV 89406-3052
Phone (775) 423-3151

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1033NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians West LLC CurrentSince Jun 1, 2012 Accepting new patients
Banner Churchill Community Hospital CurrentSince Sep 24, 2019 Accepting new patients
Banner Health Physicians West LLC CurrentSince Jun 1, 2012 Accepting new patients
Banner Churchill Community Hospital Past Accepting new patients
Narag Fallon Family Clinic, P.C. Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients

Locations

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1144200304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E WILLIAMS AVE",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063052",
            "telephone_number": "775-423-3151",
            "fax_number": "775-423-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WILLIAMS AVE",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063052",
            "telephone_number": "775-423-3151",
            "fax_number": "775-423-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-21",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallon, NV

Sources for this page

Verify at the official NPI Registry.