Individual provider Active NPI

Sharon Louise Stager, RN MS CS FNP

  • Family Nurse Practitioner
  • Johnston, RI
National Provider Identifier
1508818964
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN226334 Issued in MA
Practice address
1524 Atwood Ave
Suite 434
Johnston, RI 02919
Phone
(401) 272-8773
Fax
(401) 272-8770
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP36200 RI
Nurse Practitioner 363L00000X CNP36200 RI
Family Nurse Practitioner 363LF0000X RN226334 MA Primary

Addresses

Primary practice location

1524 Atwood Ave
Suite 434
Johnston, RI 02919

Mailing address

1524 Atwood Ave
Suite 434
Johnston, RI 02919
Phone (401) 272-8773

Other identifiers 1

IdentifierTypeStateIssuer
509026514MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20050425001058 RI Practitioner - Nurse Practitioner 1153360664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellcare IncGroup PAC ID 0547163081, 3 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite 434
Johnston, RI 02919-3228
Phone (401) 272-8773

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
CNP36200RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
In Search for Health Family Current Accepting new patients
Wellcare Inc CurrentSince Jan 9, 2006 Accepting new patients
Christine Richards LLC PastSince Jul 1, 2021 Accepting new patients

Locations

1524 Atwood Ave
Ste 434
Johnston, RI 02919
Phone (401) 272-8773

1524 Atwood Ave
Ste 243
Johnston, RI 02919
Phone (401) 272-8773

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFGJDD/Endpoint/BFGJDD
  • Direct secure messaging: sharon.stager@wellcare.directbygreenway.com

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 and National Provider Directory roles.

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1508818964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 434",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-272-8773",
            "fax_number": "401-272-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 434",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-272-8773",
            "fax_number": "401-272-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGER",
        "first_name": "SHARON",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "RN MS CS FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "CNP36200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "CNP36200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN226334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509026514",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.