Individual provider Active NPI

Sharla N Cantrell, AGNP

  • Adult Health Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1164918322
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG07180062 Issued in OH
Practice address
5440 Charlesgate Rd
Dayton, OH 45424-1049
Phone
(937) 237-2151
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG07180062 OH Primary

Addresses

Primary practice location

5440 Charlesgate Rd
Dayton, OH 45424-1049

Mailing address

2804 Stone Mill PL
Beavercreek, OH 45434-6282
Phone (937) 474-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200413003527 OH Practitioner - Nurse Practitioner 6608206727 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carespring NP, LLCGroup PAC ID 3476714718, 14 clinicians

Practice addresses (Care Compare)

390 Wards Corner Rd
Loveland, OH 45140-6969
Phone (513) 943-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AG07180062OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Primary Care, Inc CurrentSince Apr 20, 2020 Accepting new patients
Valley Medical LTC Inc CurrentSince Apr 20, 2025 Accepting new patients
Provider Partners Care Management LP CurrentSince Feb 6, 2025 Accepting new patients
Carespring NP, LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

4400 Gleneste Withamsville Rd
Cincinnati, OH 45245
Phone (513) 752-3710

6611 Clyo Rd
Ste E
Dayton, OH 45459
Phone (937) 208-8282

1302 Millville Ave
Hamilton, OH 45013
Phone (513) 867-4100

390 Wards Corner Rd
Loveland, OH 45140

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.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1164918322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 STONE MILL PL",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346282",
            "telephone_number": "937-474-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 CHARLESGATE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454241049",
            "telephone_number": "937-237-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "SHARLA",
        "middle_name": "N",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "AG07180062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.