Individual provider Active NPI

Matthew Christopher Sharpe, N.P.P., PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Penfield, NY
National Provider Identifier
1407052061
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401066 Issued in NY
Practice address
441 Penbrooke Dr Ste 10
Penfield, NY 14526-2046
Phone
(585) 709-8807
Fax
(585) 442-5032
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 551188 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401066 NY Primary

Addresses

Primary practice location

441 Penbrooke Dr Ste 10
Penfield, NY 14526-2046

Mailing address

441 Penbrooke Dr Ste 10
Penfield, NY 14526-2046
Phone (585) 709-8807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090106000351 NY Practitioner - Nurse Practitioner 5193888949 Reassigns benefits to 1 organization
Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1577 S Ave
Rochester, NY 14620-3914
Phone (585) 709-8807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
551188NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Jan 9, 2017 Accepting new patients
University of Rochester CurrentSince Jan 9, 2017 Accepting new patients
Annette M. Hertzlin-Lockamyeir, LCSW PLLC PastSince Apr 18, 2010 Accepting new patients
Rochester Rehabilitation Center, Inc PastSince Aug 11, 2005 Accepting new patients

Locations

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1407052061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 PENBROOKE DR STE 10",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262046",
            "telephone_number": "585-709-8807",
            "fax_number": "585-442-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 PENBROOKE DR STE 10",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262046",
            "telephone_number": "585-709-8807",
            "fax_number": "585-442-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "MATTHEW",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "N.P.P., PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "551188",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.