Individual provider Active NPI

Sharon Lynn Benton, P.A.-C

  • Physician Assistant
  • Wheat Ridge, CO
National Provider Identifier
1366800641
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004368 Issued in CO
Practice address
10285 Ridge Rd
Wheat Ridge, CO 80033-2301
Phone
(303) 463-2636
Fax
(303) 463-2650
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0004368 CO Primary

Addresses

Primary practice location

10285 Ridge Rd
Wheat Ridge, CO 80033-2301

Mailing address

10285 Ridge Rd
Wheat Ridge, CO 80033-2399
Phone (303) 463-2636

Other names 1

  • Sharon Lynn Stumpf Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231127000541 CO Order and Referring Only - Physician Assistant 6507150273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1366800641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10285 RIDGE RD",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332399",
            "telephone_number": "303-463-2636",
            "fax_number": "303-463-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10285 RIDGE RD",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332301",
            "telephone_number": "303-463-2636",
            "fax_number": "303-463-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "STUMPF",
            "middle_name": "LYNN",
            "credential": "P.A.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.