Individual provider Active NPI

Sharayah Lynn Glisson, FNP-BC

  • Otolaryngology Physician
  • Evansville, IN
National Provider Identifier
1497497754
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
28220602A Issued in IN
Practice address
1401 Professional Blvd
Evansville, IN 47714-8014
Phone
(812) 473-2060
Fax
(812) 473-0763
NPI assigned
Apr 8, 2022
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 28220602A IN Primary
Facial Plastic Surgery Physician 207YS0123X 28220602A IN

Addresses

Primary practice location

1401 Professional Blvd
Evansville, IN 47714-8014

Mailing address

1401 Professional Blvd
Evansville, IN 47714-8014
Phone (812) 473-2060

Other identifiers 1

IdentifierTypeStateIssuer
300061787MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220513001699 IN Practitioner - Nurse Practitioner 5395122246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Ear Nose and Throat Surgery PSCGroup PAC ID 3173516887, 14 clinicians

Practice addresses (Care Compare)

1401 Professional Blvd
Evansville, IN 47714-8014
Phone 8124732060219

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Ear Nose and Throat Surgery, PSC Otolaryngology CurrentSince May 12, 2022 Accepting new patients

Locations

1020 Professional Blvd
Evansville, IN 47714
Phone (812) 473-2060

1401 Professional Blvd
Evansville, IN 47714
Phone (812) 469-3706

800 N Elm St
Henderson, KY 42420
Phone (270) 827-2312

Interoperability endpoints

  • Direct secure messaging: sglisson@midwestent.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1497497754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148014",
            "telephone_number": "812-473-2060",
            "fax_number": "812-473-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148014",
            "telephone_number": "812-473-2060",
            "fax_number": "812-473-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLISSON",
        "first_name": "SHARAYAH",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "28220602A",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "IN",
            "license": "28220602A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300061787",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.