Active NPI
Michelle Renee Sharp, DO
- Psychiatry Physician
- Bangor, ME
National Provider Identifier
1710489869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO3423
- Practice address
- 268 Stillwater Ave
Bangor, ME 04401-3945 - Phone
- (207) 973-6100
- NPI assigned
- Mar 5, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- Tulsa, OK
- NPI 1437370772
-
- Psychiatric Hospital
- Tulsa, OK
- NPI 1134750649
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bangor, ME
- NPI 1568477297
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkside, Inc.
Practice addresses (Care Compare)
1239 S Trenton Ave
Parkside Psychiatric Hospital and Clinic
Tulsa, OK 74120-5420
Phone (918) 588-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240311000566 | OK | Practitioner - Psychiatry | 2264817642 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkside, Inc. | Current | Accepting new patients | |
| Parkside, Inc. | Current | Accepting new patients | |
| Acadia Healthcare, Inc | Past | Accepting new patients |
Locations
1620 E 12th St
Tulsa, OK 74120
Phone (918) 582-2131
1239 S Trenton Ave
Tulsa, OK 74120
Phone (918) 582-2131
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DO3423 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
268 Stillwater Ave
Bangor, ME 04401-3945
Mailing address
1111 W. 17TH St., Barson 241
Tulsa, OK 74107-1898
Other practice location 1
3417 E 39th St
Tulsa, OK 74135-4633
Phone (918) 230-1135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2022.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1710489869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W. 17TH ST., BARSON 241",
"city": "TULSA",
"state": "OK",
"postal_code": "741071898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 STILLWATER AVE",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013945",
"telephone_number": "207-973-6100"
}
],
"practiceLocations": [
{
"address_1": "3417 E 39th St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741354633",
"country_code": "US",
"telephone_number": "918-230-1135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARP",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "DO3423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.