Individual provider Active NPI

Sharmila S. Johnson, AGACNP-BC

  • Nurse Practitioner
  • Dover, DE
National Provider Identifier
1407196447
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LP-0000122 Issued in DE
Practice address
540 S Governors Ave Ste 101a
Dover, DE 19904-3530
Phone
(302) 744-7980
Fax
(302) 744-7989
NPI assigned
Feb 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LP-0000122 DE Primary
Acute Care Nurse Practitioner 363LA2100X LP-0000122 DE
Critical Care Medicine Nurse Practitioner 363LC0200X LP-0000122 DE
Gerontology Nurse Practitioner 363LG0600X LP-0000122 DE

Addresses

Primary practice location

540 S Governors Ave Ste 101a
Dover, DE 19904-3530

Mailing address

640 S. State Street
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 744-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE2 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
I20130429000438 DE Practitioner - Certified Clinical Nurse Specialist (CNS) 0749426294 Reassigns benefits to 3 organizations
I20231227001995 DE Practitioner - Nurse Practitioner 0749426294 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP-0000122DEMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc CurrentSince Feb 19, 2013 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2015 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jan 1, 2025 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner Current Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jan 29, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jan 29, 2024 Accepting new patients
Bayhealth Medical Center, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 19, 2013 Accepting new patients
Christiana Care Health Services Inc Nurse Practitioner CurrentSince Jul 1, 2019 Accepting new patients
Bayhealth Medical Center, Inc. Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

724 S New St
Dover, DE 19904
Phone (302) 674-4070

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

540 S Governors Ave
Ste 101A
Dover, DE 19904
Phone (302) 744-7980

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

101 Wellness Way
Ste 250
Milford, DE 19963
Phone (302) 744-6220

18383 Hudson Rd
Ste B
Milton, DE 19968
Phone (302) 725-3499

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 1E50
Newark, DE 19718
Phone (302) 733-1980

4755 Ogletown Stanton Rd
Ste 2E99
Newark, DE 19718
Phone (302) 623-3017

4755 Ogletown Stanton Rd
#1E50
Newark, DE 19718
Phone (302) 733-1980

774 Christiana Rd
Ste 201
Newark, DE 19713
Phone (302) 623-3017

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, Inc 399 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 744-4700

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7408

724 S New St
Bayhealth General Surgery Dover
Dover, DE 19904-3540
Phone (302) 674-4070

Hospital & facility affiliations

  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1407196447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE STREET",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-744-7980",
            "fax_number": "302-744-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S GOVERNORS AVE STE 101A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043530",
            "telephone_number": "302-744-7980",
            "fax_number": "302-744-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHARMILA",
        "middle_name": "S.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LP-0000122",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "DE",
            "license": "LP-0000122",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "DE",
            "license": "LP-0000122",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "DE",
            "license": "LP-0000122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.