Active NPI
Sharlyn Moravec, FNP-BC
- Family Nurse Practitioner
- Roseville, MN
National Provider Identifier
1174902928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3837
- Practice address
- 2786 Fairview Ave N
Roseville, MN 55113-1306 - Phone
- (763) 412-1993
- NPI assigned
- May 27, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R 128583-7 | MN | |
| Family Nurse Practitioner | 363LF0000X | 3837 | MN | Primary |
Addresses
Primary practice location
2786 Fairview Ave N
Roseville, MN 55113-1306
Mailing address
415 7TH St SW
Plainview, MN 55964-1173
Phone (507) 696-2295
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
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 128583-7 | MN | MD | Family Nurse Practitioner |
Interoperability endpoints
- sharlyn.moravec@811393367080964.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1174902928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 7TH ST SW",
"city": "PLAINVIEW",
"state": "MN",
"postal_code": "559641173",
"telephone_number": "507-696-2295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2786 FAIRVIEW AVE N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131306",
"telephone_number": "763-412-1993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAVEC",
"first_name": "SHARLYN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R 128583-7",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "3837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.