Sharlotte Jane Shore, RNFA
Individual provider Active NPI Family Nurse Practitioner · Rock Springs, WY
NPI 1356533657 · NPPES record last updated Jul 26, 2021
Key facts
- NPI
- 1356533657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 578438 (TX)
- Practice address
- 2620 Commercial Way Ste 20
Rock Springs, WY 82901-4705 - Phone
- (307) 212-6270
- Fax
- (307) 212-6271
- NPI assigned
- Aug 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pain Care Center LLC
Pain Care Centers - Mt LLC
Practice addresses (Care Compare)
2620 Commercial Way
Suite 20
Rock Springs, WY 82901-4705
Phone (307) 212-6270
3490 Gabel Rd
Suite 100
Billings, MT 59102-7389
Phone (406) 601-8001
Hospital & facility affiliations
- Memorial Hospital Sweetwater County
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.39 of 100
- Quality
- 74.38
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.63
Merit-based Incentive Payment System (MIPS)
- Final score
- 33.71 of 100
- Quality
- 39.66
- Improvement activities
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WY, MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191104002530 | WY | Practitioner - Nurse Practitioner | 5092047431 | Reassigns benefits to 1 organization |
| I20260527001785 | MT | Practitioner - Nurse Practitioner | 5092047431 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 578438 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Care Center, LLC | Current |
Accepting new patients | |
| Pain Care Centers - Mt, LLC | Current |
Accepting new patients | |
| Pain Care Center, LLC | Current |
Accepting new patients |
Locations
3490 Gabel Rd
Ste 100
Billings, MT 59102
Phone (406) 601-8001
170 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 448-2753
15 Shrine Club Rd
Ste B
Lander, WY 82520
Phone (307) 332-9000
329 Main St
Lander, WY 82520
Phone (307) 288-2328
2620 Commercial Way
Ste 20
Rock Springs, WY 82901
Phone 3072126270114
Interoperability endpoints
- paincarecenter.sharlotteshore@120787.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 578438 | TX | |
| Family Nurse Practitioner | 363LF0000X | 578438 | TX | Yes |
Addresses
Primary practice location
2620 Commercial Way Ste 20
Rock Springs, WY 82901-4705
Mailing address
2620 Commercial Way Ste 20
Rock Springs, WY 82901-4705
Phone (307) 212-6270
Other practice location 1
9200 Pinecroft
Suite 280
The Woodlands, TX 77380
Phone (281) 296-9444
Other practice location 2
329 Main St
Lander, WY 82520-3101
Phone (307) 212-6270
Other providers in Rock Springs, WY
- Sheridan Vamc
- John A Sherman
- Julie Anna Shockey
- Todd E Sholey
- Koral Jo Shook
- Heidi Shuler
- Devon Siegel
- Donna M Simkin
- Skyline Mental Health Services LLC
- Angela Slinden
All providers in Rock Springs, WY · Family Nurse Practitioner in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.