Individual provider Active NPI

Sharon L Fellion, RNC WHNP

  • Nurse Practitioner
  • Marinette, WI
National Provider Identifier
1174511943
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
83033 Issued in WI
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

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
83033OtherWILICENSE
500018073-WIOtherRR - MEDICARE
43939800MedicaidWI
ON42190OtherMIMEDICAID

Other names 1

  • Ms. Sharon Lorraine Fellion Other name

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

LicenseStateTypeSpecialty
4707086166MIMDNurse Practitioner
83033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.