Individual provider Active NPI

Trudy Sharp, ARNP

  • Family Nurse Practitioner
  • Walla Walla, WA
National Provider Identifier
1578839023
Registry record updated Oct 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60273475 Issued in WA
Practice address
694 W Rose St
Walla Walla, WA 99362-2707
Phone
(509) 529-4676
Fax
(509) 525-1058
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2023

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 AP60273475 WA Primary

Addresses

Primary practice location

694 W Rose St
Walla Walla, WA 99362-2707

Mailing address

630 SE Creekside Dr
College Place, WA 99324-1679
Phone (509) 386-7052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20121001000448 WA Practitioner - Nurse Practitioner 1658520929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Washington University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

694 W Rose St
Walla Walla, WA 99362-2707
Phone (509) 529-4676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
68.19
Improvement activities
40
Cost
88.21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Enterprises LLC Family CurrentSince May 13, 2020 Accepting new patients
Raymond H Sjerven DO PastSince Oct 26, 2017 Accepting new patients

Locations

694 W Rose St
Walla Walla, WA 99362
Phone (509) 529-4676

Interoperability endpoints

  • Direct secure messaging: trudy.sharp.1@29265.direct.athenahealth.com

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 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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696636800000",
    "number": "1578839023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SE CREEKSIDE DR",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241679",
            "telephone_number": "509-386-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 W ROSE ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622707",
            "telephone_number": "509-529-4676",
            "fax_number": "509-525-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "TRUDY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2023-10-07",
        "certification_date": "2023-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60273475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.