Individual provider Active NPI

Sharon G. Wise, APRN-BC

  • Family Nurse Practitioner
  • Barnwell, SC
National Provider Identifier
1376618181
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN725 Issued in SC
Practice address
154 Wren St
Barnwell, SC 29812-1527
Phone
(803) 259-3399
Fax
(803) 259-4477
NPI assigned
Nov 21, 2006
Last updated
Jul 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN725 SC Primary

Addresses

Primary practice location

154 Wren St
Barnwell, SC 29812-1527

Mailing address

154 Wren St
Barnwell, SC 29812-1527
Phone (803) 259-3399

Other identifiers 1

IdentifierTypeStateIssuer
NP0393MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20070515000537 SC Practitioner - Nurse Practitioner 4880791458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
725SCMDFoot & Ankle Surgery Podiatrist
APN725SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Medical Solutions LLC Family CurrentSince May 1, 2023 Accepting new patients
Healthwise Family Practice LLC Current Accepting new patients

Locations

154 Wren St
Barnwell, SC 29812
Phone (803) 259-3399

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1376618181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121527",
            "telephone_number": "803-259-3399",
            "fax_number": "803-259-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121527",
            "telephone_number": "803-259-3399",
            "fax_number": "803-259-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "SHARON",
        "middle_name": "G.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0393",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnwell, SC

Sources for this page

Verify at the official NPI Registry.