Individual provider Active NPI

Kia L Massey-Sharpe

  • Family Nurse Practitioner
  • King of Prussia, PA
National Provider Identifier
1497207708
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP016747 Issued in PA
Practice address
583 Shoemaker Rd
King of Prussia, PA 19406-4201
Phone
(484) 378-2424
Fax
(484) 723-5324
NPI assigned
Nov 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP016747 PA Primary

Addresses

Primary practice location

583 Shoemaker Rd
King of Prussia, PA 19406-4201

Mailing address

3091 Claridge Rd
Bensalem, PA 19020-1790

Other practice location 1

2001 S 18th St
Philadelphia, PA 19145-2905
Phone (484) 378-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20161207001664 PA Practitioner - Nurse Practitioner 7113207234 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Medical CenterGroup PAC ID 7315132537, 20 clinicians
JW NP LLCGroup PAC ID 2769908508, 4 clinicians

Practice addresses (Care Compare)

7515 Stenton Ave
Philadelphia, PA 19150-3710
Phone (267) 335-5264

907 Adam CT
New Hope, PA 18938-9550
Phone (954) 608-1523

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montco Wound and Primary Care Center PC CurrentSince Nov 17, 2025 Accepting new patients
Excel Medical Center CurrentSince Feb 22, 2025 Accepting new patients
JW NP LLC CurrentSince Nov 15, 2025 Accepting new patients
Qofl Services LLC CurrentSince Nov 7, 2016 Accepting new patients
Montgomery County Wound Healing Center LLC Past Accepting new patients

Locations

429 Manor Dr
Ebensburg, PA 15931
Phone (814) 472-6060

583 Shoemaker Rd
Kng of Prussa, PA 19406
Phone (484) 378-2424

6445 Germantown Ave
Philadelphia, PA 19119
Phone (215) 438-5268

208 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 849-3104

7515 Stenton Ave
Philadelphia, PA 19150
Phone (215) 842-5246

251 Stenton Ave
Plymouth Mtng, PA 19462
Phone (215) 987-3663

Interoperability endpoints

  • Direct secure messaging: kia.massey-sharpe.1@25233.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25233/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1497207708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 CLARIDGE RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 SHOEMAKER RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064201",
            "telephone_number": "484-378-2424",
            "fax_number": "484-723-5324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S 18th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191452905",
            "country_code": "US",
            "telephone_number": "484-378-2424",
            "fax_number": "484-723-5324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY-SHARPE",
        "first_name": "KIA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.