Active NPI
Carrie Sharkey, MD
- Family Medicine Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036082688
- Practice address
- 1221 E State St
Rockford, IL 61104-2231 - Phone
- (815) 972-1000
- Fax
- (815) 972-1086
- NPI assigned
- Oct 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036082688 | IL | Primary |
Addresses
Primary practice location
1221 E State St
Rockford, IL 61104-2231
Mailing address
1601 Parkview Avenue
Credentialing S200C
Rockford, IL 61107-2231
Phone (815) 395-5861
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036082688 | Other | IL | IL STATE LICENSE |
| 036082688 | Medicaid | IL | |
| 336044959 | Other | IL | IL STATE CTL SUBS LICENSE |
Other names 1
- Dr. Carrie Sharkey-Asner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 E State St
Rockford, IL 61104-2231
Phone (815) 972-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosecrance Inc | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Rosecrance Inc | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients |
Locations
1601 Parkview Ave
#S200C
Rockford, IL 61107
1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600
1221 E State St
Rockford, IL 61104
Phone (815) 972-1000
1511 N Blackhawk Blvd
Rockton, IL 61072
Phone (815) 395-5879
Interoperability endpoints
- csharkeyasner17633@uihealth.direct-ci.com
Organizations & group practices 5
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1013289446
-
- Student Health Clinic/Center
- South Beloit, IL
- NPI 1568894715
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1346656923
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1295725323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 PARKVIEW AVENUE",
"address_2": "CREDENTIALING S200C",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611072231",
"telephone_number": "815-395-5861",
"fax_number": "815-395-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042231",
"telephone_number": "815-972-1000",
"fax_number": "815-972-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARKEY",
"first_name": "CARRIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-28",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036082688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL STATE LICENSE",
"identifier": "036082688",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036082688",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL STATE CTL SUBS LICENSE",
"identifier": "336044959",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "SHARKEY-ASNER",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.