Individual provider Active NPI

Sharlotte Jane Shore, RNFA

  • Family Nurse Practitioner
  • Rock Springs, WY
National Provider Identifier
1356533657
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
578438 Issued in 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
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 578438 TX
Family Nurse Practitioner 363LF0000X 578438 TX Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191104002530 WY Practitioner - Nurse Practitioner 5092047431 Reassigns benefits to 1 organization
I20260527001785 MT Practitioner - Nurse Practitioner 5092047431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 4385818681, 18 clinicians
Pain Care Centers - Mt LLCGroup PAC ID 4284172008, 6 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
86.39 of 100Reported as group
Quality
74.38
Promoting interoperability
99
Improvement activities
40
Cost
67.63

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
578438TXMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Center, LLC CurrentSince Oct 1, 2019 Accepting new patients
Pain Care Center, LLC CurrentSince Oct 1, 2019 Accepting new patients
Pain Care Centers - Mt, LLC CurrentSince Mar 24, 2026 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) 335-7555

329 Main St
Lander, WY 82520
Phone (307) 288-2328

2620 Commercial Way
Ste 20
Rock Springs, WY 82901
Phone 3072126270114

Interoperability endpoints

  • Direct secure messaging: paincarecenter.sharlotteshore@120787.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1356533657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY STE 20",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014705",
            "telephone_number": "307-212-6270",
            "fax_number": "307-212-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY STE 20",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014705",
            "telephone_number": "307-212-6270",
            "fax_number": "307-212-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Pinecroft",
            "address_2": "Suite 280",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "77380",
            "country_code": "US",
            "telephone_number": "281-296-9444",
            "fax_number": "281-419-6788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 Main St",
            "address_purpose": "LOCATION",
            "city": "Lander",
            "state": "WY",
            "postal_code": "825203101",
            "country_code": "US",
            "telephone_number": "307-212-6270",
            "fax_number": "307-212-6271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORE",
        "first_name": "SHARLOTTE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "578438",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "578438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.