Individual provider Active NPI

Stephanie Ann Sharpe, NP-C

  • Family Health Clinical Nurse Specialist
  • Sterling Heights, MI
National Provider Identifier
1487104949
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
4704272224 Issued in MI
Practice address
43145 Schoenherr Rd Unit 13
Sterling Heights, MI 48313-1955
Phone
(586) 997-5048
Fax
(586) 997-5049
NPI assigned
Oct 9, 2016
Last updated
Apr 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704272224 MI
Family Health Clinical Nurse Specialist 364SF0001X 4704272224 MI Primary

Addresses

Primary practice location

43145 Schoenherr Rd Unit 13
Sterling Heights, MI 48313-1955

Mailing address

43145 Schoenherr Rd Unit 13
Sterling Heights, MI 48313-1955
Phone (586) 997-5048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170609001255 MI Practitioner - Nurse Practitioner 7911275243 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704272224MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Clair Medical P.C CurrentSince Nov 18, 2019 Accepting new patients
Port Huron Internal Medicine Family Health PastSince May 15, 2017 Accepting new patients

Locations

7685 Brockway Rd
Brockway, MI 48097
Phone (810) 387-3205

3436 S River Rd
East China, MI 48054
Phone (810) 326-3540

1209 10th St
Port Huron, MI 48060
Phone (810) 985-8170

1209 10th St
Ste D
Port Huron, MI 48060
Phone (810) 985-8170

1209 10th St
Ste E
Port Huron, MI 48060
Phone (810) 985-8170

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1475971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1487104949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43145 SCHOENHERR RD UNIT 13",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131955",
            "telephone_number": "586-997-5048",
            "fax_number": "586-997-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43145 SCHOENHERR RD UNIT 13",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131955",
            "telephone_number": "586-997-5048",
            "fax_number": "586-997-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-09",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704272224",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "MI",
            "license": "4704272224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.