Individual provider Active NPI

Angela Cavanaugh Sharp, AG-ACNP

  • Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1487104238
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21906 Issued in TN
Practice address
1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone
(931) 783-2770
Fax
(931) 525-1176
NPI assigned
Oct 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 21906 TN
Nurse Practitioner 363L00000X 21906 TN Primary

Addresses

Primary practice location

1 Medical Center Blvd
Cookeville, TN 38501-4294

Mailing address

2300 Patterson St Ste 502
Nashville, TN 37203-1538
Phone (615) 515-1900

Other practice location 1

2400 Patterson St Ste 502
Nashville, TN 37203-6511
Phone (615) 515-1900

Other identifiers 3

IdentifierTypeStateIssuer
7100445980MedicaidKY
Q024691MedicaidTN
6081577OtherTNBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angela.cavanaughsharp@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20161026002704 TN Practitioner - Nurse Practitioner 3072891027 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Heart LLCGroup PAC ID 9931204237, 121 clinicians
Middle Tennessee Pulmonary Associates LLCGroup PAC ID 8628090958, 10 clinicians

Practice addresses (Care Compare)

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 222-2100

2400 Patterson St
Suite 103
Nashville, TN 37203-1577
Phone (615) 515-1900

5651 Frist Blvd
Suite 213
Hermitage, TN 37076-2056
Phone (615) 250-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
Quality
56.54
Promoting interoperability
99
Improvement activities
40
Cost
79.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21906TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee HM, PLLC Nurse Practitioner CurrentSince Jul 1, 2019 Accepting new patients
Middle Tennessee Pulmonary Associates, LLC Critical Care Medicine CurrentSince Sep 16, 2025 Accepting new patients
Centennial Heart LLC Nurse Practitioner CurrentSince Nov 15, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

5651 Frist Blvd
Ste 213
Hermitage, TN 37076
Phone (615) 250-6900

2400 Patterson St
Ste 502
Nashville, TN 37203
Phone (615) 515-1968

2400 Patterson St
Ste 103
Nashville, TN 37203
Phone (615) 329-0929

2300 Patterson St
Ste 502
Nashville, TN 37203

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1487104238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PATTERSON ST STE 502",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031538",
            "telephone_number": "615-515-1900",
            "fax_number": "615-292-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014294",
            "telephone_number": "931-783-2770",
            "fax_number": "931-525-1176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Patterson St Ste 502",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372036511",
            "country_code": "US",
            "telephone_number": "615-515-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVANAUGH SHARP",
        "first_name": "ANGELA",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2022-01-04",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TN",
            "license": "21906",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "21906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100445980",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q024691",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6081577",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.cavanaughsharp@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2400 Patterson St Ste 502",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372036511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.