Active NPI
Oliver Derick Sharpe, FNP-BC
- Family Nurse Practitioner
- Granville, OH
National Provider Identifier
1457718538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0035260
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharpe Primary Care LLC | Single Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.