Individual provider Active NPI

Sharin P Kelley, CRNP

  • Gerontology Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1356854988
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP018063 Issued in PA
Practice address
3435 Winchester Rd
Allentown, PA 18104-2268
Phone
(610) 402-0100
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP018063 PA
Gerontology Nurse Practitioner 363LG0600X SP018063 PA Primary

Addresses

Primary practice location

3435 Winchester Rd
Allentown, PA 18104-2268

Mailing address

2100 Mack Blvd
Allentown, PA 18103-5622
Phone (484) 884-4500

Other practice location 1

41816 Fenway Cir
Ashburn, VA 20148-8069
Phone (347) 761-7200

Other practice location 2

602 Madison Rd
Culpeper, VA 22701-3324
Phone (215) 527-2677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180326000073 PA Practitioner - Nurse Practitioner 7113289547 Reassigns benefits to 2 organizations
I20190924003962 VA Practitioner - Nurse Practitioner 7113289547 Reassigns benefits to 2 organizations
I20191107001320 DC Practitioner - Nurse Practitioner 7113289547 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
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

1200 S Cedar Crest Blvd 3Rd FL Kasych
LVPG Burn Surgery
Allentown, PA 18103-6202
Phone (610) 402-8355

1200 S Cedar Crest Blvd FL
1 LVPG Nephrology
Allentown, PA 18103-6202
Phone (610) 402-8510

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

200 E Brown St
LVPG Family Medicine Esu
East Stroudsburg, PA 18301-3006
Phone (272) 762-4378

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

2545 Schoenersville Rd
Bethlehem, PA 18017-7300

334 Main St
Dickson City, PA 18519-1668
Phone (570) 307-1767

3780 Hecktown Rd
Easton, PA 18045-2355
Phone (610) 333-8888

3794 Hecktown Rd
Easton, PA 18045-2355

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

700 E Broad St
LVPG Emergency Medicine
Hazleton, PA 18201-6835
Phone (570) 501-4193

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP018063PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Dec 9, 2017 Accepting new patients
Rahel G. Yirga MD PC CurrentSince Aug 1, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2024 Accepting new patients
Lehigh Valley Physician Group Nurse Practitioner Current Accepting new patients
Tower Health Medical Group CurrentSince Dec 9, 2017 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Oct 1, 2019 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Capital Palliative Care Consultants, LLC Past Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

3435 Winchester Rd
Ste 201
Allentown, PA 18104
Phone (610) 402-0100

1250 S Cedar Crest Blvd
Ste 205
Allentown, PA 18103
Phone (610) 402-9116

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

2100 Mack Blvd
Fl 4
Allentown, PA 18103

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

3701 Corriere Rd
Ste 25
Palmer Township, PA 18045
Phone (484) 591-7000

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

1991 State Hill Rd
Wyomissing, PA 19610
Phone (484) 628-4270

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

9640 Burke Lake Rd
Burke, VA 22015
Phone (347) 761-7200

602 Madison Rd
Culpeper, VA 22701
Phone (540) 825-2884

3440 S Jefferson St
#12202
Falls Church, VA 22041
Phone (703) 820-1488

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

20 Pidgeon Hill Dr
Ste 208
Sterling, VA 20165
Phone (703) 539-6029

Organizations & group practices 11

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.

Hospital & facility affiliations 9

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1356854988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 WINCHESTER RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042268",
            "telephone_number": "610-402-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41816 Fenway Cir",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201488069",
            "country_code": "US",
            "telephone_number": "347-761-7200",
            "fax_number": "833-436-0568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Madison Rd",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013324",
            "country_code": "US",
            "telephone_number": "215-527-2677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "SHARIN",
        "middle_name": "P",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP018063",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP018063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.