Individual provider Active NPI

Mikail Phillips-Sharkey, NP

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1568105146
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
31281 Issued in TN
Practice address
969 Frayser Blvd
Memphis, TN 38127-5977
Phone
(901) 842-3162
Fax
(901) 842-2362
NPI assigned
Apr 20, 2022
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 31281 TN Primary

Addresses

Primary practice location

969 Frayser Blvd
Memphis, TN 38127-5977

Mailing address

664 Rocky Brook Dr
Cordova, TN 38018-6546
Phone (731) 443-6635

Other practice location 1

880 Madison Ave
Memphis, TN 38103-3409
Phone (901) 515-4991

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
I20221216001319 TN Practitioner - Nurse Practitioner 5597134312 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
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

6215 Humphreys Blvd
Suite 201
Memphis, TN 38120-2382
Phone (901) 866-8085

880 Madison Ave
Memphis, TN 38103-3409
Phone (901) 545-6969

890 Madison Ave
Memphis, TN 38103-3409
Phone (901) 545-8999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

1955 S 3rd St
Memphis, TN 38109
Phone (901) 515-5800

2500 Peres Ave
Memphis, TN 38108
Phone (901) 458-9531

3109 Walnut Grove Rd
Memphis, TN 38111
Phone (901) 458-0162

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

718 Harbor Bend Rd
Memphis, TN 38103
Phone (901) 515-4200

880 Madison Ave
Memphis, TN 38103
Phone (901) 515-3500

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.

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": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1568105146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 ROCKY BROOK DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186546",
            "telephone_number": "731-443-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 FRAYSER BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381275977",
            "telephone_number": "901-842-3162",
            "fax_number": "901-842-2362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033409",
            "country_code": "US",
            "telephone_number": "901-515-4991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS-SHARKEY",
        "first_name": "MIKAIL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "31281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.