Active NPI
Sharon L Fellion, RNC WHNP
- Nurse Practitioner
- Marinette, WI
National Provider Identifier
1174511943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 83033
- Practice address
- 3123 Shore Dr Ste 201
Womans Specialty Care
Marinette, WI 54143-4290 - Phone
- (715) 735-6263
- Fax
- (715) 735-5692
- NPI assigned
- Oct 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4707086166 | MI | |
| Nurse Practitioner | 363L00000X | 83033 | WI | Primary |
Addresses
Primary practice location
3123 Shore Dr Ste 201
Womans Specialty Care
Marinette, WI 54143-4290
Mailing address
3123 Shore Dr Ste 201
Womans Specialty Care
Marinette, WI 54143-4290
Phone (715) 735-6263
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83033 | Other | WI | LICENSE |
| 500018073-WI | Other | RR - MEDICARE | |
| 43939800 | Medicaid | WI | |
| ON42190 | Other | MI | MEDICAID |
Other names 1
- Ms. Sharon Lorraine Fellion
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4707086166 | MI | MD | Nurse Practitioner |
| 83033 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northreach Healthcare LLC | Past | Accepting new patients | |
| Northreach Healthcare, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Marinette, WI
- NPI 1518367226
-
- Obstetrics & Gynecology Physician
- Marinette, WI
- NPI 1487791760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1174511943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3123 SHORE DR STE 201",
"address_2": "WOMANS SPECIALTY CARE",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541434290",
"telephone_number": "715-735-6263",
"fax_number": "715-735-5692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3123 SHORE DR STE 201",
"address_2": "WOMANS SPECIALTY CARE",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541434290",
"telephone_number": "715-735-6263",
"fax_number": "715-735-5692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLION",
"first_name": "SHARON",
"middle_name": "L",
"credential": "RNC WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4707086166",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "83033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "83033",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR - MEDICARE",
"identifier": "500018073-WI",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43939800",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "ON42190",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "FELLION",
"middle_name": "LORRAINE",
"prefix": "MS.",
"credential": "WHNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.