Sharon Freeman Clevenger, MA, MSN, PMHCNS-BC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

70000153A Issued in IN

Practice address

423 Airport North Office Park
Fort Wayne, IN 46825-6704

Phone

(260) 969-5583

Fax

(260) 969-5584

NPI assigned

Jun 10, 2005

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

Other identifiers 1

Other names 1

• Mrs. Sharon E Morgillo Freeman Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Arts, Master of Science - Nursing

State licenses

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.

• Center for Brief Therapy PC

  • Prescribing (Medical) Psychologist
  • Ft. Wayne, IN
  • NPI 1285839480
  Medicare reassignment

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1174527899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 AIRPORT NORTH OFFICE PARK",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256704",
            "telephone_number": "260-969-5583",
            "fax_number": "260-969-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 AIRPORT NORTH OFFICE PARK",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468256704",
            "telephone_number": "260-969-5583",
            "fax_number": "260-969-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "SHARON",
        "middle_name": "FREEMAN",
        "name_prefix": "Mrs.",
        "credential": "MA, MSN, PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IN",
            "license": "70000153A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "1612",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "MORGILLO FREEMAN",
            "middle_name": "E",
            "prefix": "MRS.",
            "credential": "PHD, APRN-CS, MAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shellene Clements, COTA
• Melissa Marie Clemmer, MS
• Claire Allison Clerkley
• Debra Clevenger, MA
• Holly J Clevenger, RN
• Dana Dianne Clevering, MS, LMHC, EMDR
• Cara Click
• Gracie Clickovich, DPT
• Jessica Clifford
• Lauren Cliffton, PTA

• Psychiatric/Mental Health Clinical Nurse Specialist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.