Stacy Lynn Sharp, AGPCNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704331146 Issued in MI

Practice address

104 S Lakeview Ave
Sturgis, MI 49091-1947

Phone

(269) 319-8850

NPI assigned

Feb 1, 2022

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revolution Health PCGroup PAC ID 2264865633, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sturgis Hospital Hospital, Sturgis, MI, CCN 230779
• Three Rivers Health Hospital, Three Rivers, MI, CCN 230015
• Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacy.sharp.1@20006.direct.athenahealth.com

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.

• Revolution Health PC

  • Primary Care Clinic/Center
  • Sturgis, MI
  • NPI 1366091670
  Medicare reassignment Care Compare group NPD
• Revolution Health PC

  • Primary Care Clinic/Center
  • Colon, MI
  • NPI 1881359180
  NPD

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

• Community Health Center of Branch County

  • General Acute Care Hospital
  • Coldwater, MI
  • NPI 1063471639
  Care Compare affiliation
• Sturgis Hospital, Inc.

  dba Sturgis Hospital

  • Rural Acute Care Hospital
  • Sturgis, MI
  • NPI 1598099699
  Care Compare affiliation
• Three Rivers Health System, Inc

  dba Three Rivers Health

  • General Acute Care Hospital
  • Three Rivers, MI
  • NPI 1568739423
  Care Compare affiliation

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1407509219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31611 W COLON RD",
            "city": "COLON",
            "state": "MI",
            "postal_code": "490409528",
            "telephone_number": "517-617-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S LAKEVIEW AVE",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911947",
            "telephone_number": "269-319-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704331146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela@revolutionhealthpc.com",
            "affiliation": "N",
            "endpointDescription": "Revolution Health",
            "address_1": "104 S Lakeview Ave",
            "city": "Sturgis",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490911947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sara M. Smith, LMFT, LLC
• Corrine Scarbrough
• Miki Renee Schrader, FNP-C
• Andrea Shank
• Carol Lynn Sharp, R.N. / OGNP
• Roopa Singh
• Kathrine Marie Smith
• Keveona Smith
• Lauren Marie Smith, BS
• Sara Marie Smith, MA, LLMFT

• Adult Health Nurse Practitioner in Sturgis, MI
• Providers in Sturgis, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.