Individual provider Active NPI

Sharon G Placella, MS RN CS NPP APRN BC

  • Clinical Nurse Specialist
  • East Northport, NY
National Provider Identifier
1639390792
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
Practice address
554 Larkfield Rd
Sutie 10C
East Northport, NY 11731-3617
Phone
(631) 368-3966
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 2928931 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F4000751 NY
Clinical Nurse Specialist 364S00000X NY Primary

Addresses

Primary practice location

554 Larkfield Rd
Sutie 10C
East Northport, NY 11731-3617

Mailing address

93 Jasmine Lane
East Northport, NY 11731-3617
Phone (631) 266-3863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 13, 2015 through Nov 13, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2928931NYMDAdult Psychiatric/Mental Health Registered Nurse
F4000751NYMDPsychiatric/Mental Health Nurse Practitioner
016491001NYMDClinical Nurse Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639390792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 JASMINE LANE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313617",
            "telephone_number": "631-266-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 LARKFIELD RD",
            "address_2": "SUTIE 10C",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313617",
            "telephone_number": "631-368-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACELLA",
        "first_name": "SHARON",
        "middle_name": "G",
        "credential": "MS RN CS NPP APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "2928931",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F4000751",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

Verify at the official NPI Registry.