Individual provider Active NPI

Oliver Derick Sharpe, FNP-BC

  • Family Nurse Practitioner
  • Granville, OH
National Provider Identifier
1457718538
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035260 Issued in OH
Practice address
121 Kennedy Park Dr
Granville, OH 43023-6501
Phone
(614) 817-7665
NPI assigned
Jan 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN.CNP.0035260 OH Primary

Addresses

Primary practice location

121 Kennedy Park Dr
Granville, OH 43023-6501

Mailing address

4889 Sinclair Rd Ste 103
Columbus, OH 43229-5433
Phone (614) 396-7582

Other names 1

  • Mr. Oliver Derick Sharpe Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240118003894 OH Practitioner - Nurse Practitioner 4587016142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4889 Sinclair Rd
Suite 103
Columbus, OH 43229-5433
Phone (614) 817-7665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Sharpe Primary Care LLC Single Specialty CurrentSince Dec 28, 2023 Accepting new patients

Locations

4889 Sinclair Rd
Ste 103
Columbus, OH 43229
Phone (614) 396-7582

Organizations & group practices 1

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": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1457718538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4889 SINCLAIR RD STE 103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295433",
            "telephone_number": "614-396-7582",
            "fax_number": "937-806-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 KENNEDY PARK DR",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430236501",
            "telephone_number": "614-817-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "OLIVER",
        "middle_name": "DERICK",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-20",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVER",
            "last_name": "SHARPE",
            "middle_name": "DERICK",
            "prefix": "MR.",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Granville, OH

Sources for this page

Verify at the official NPI Registry.