Individual provider Active NPI

Elizabeth Ann Sharp-Marsden, APRN-CNP

  • Family Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1740771898
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53940 Issued in ID
Practice address
2275 Channing Way
Idaho Falls, ID 83404-8012
Phone
(208) 900-3434
Fax
(208) 701-6272
NPI assigned
May 24, 2018
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 53940 ID Primary

Addresses

Primary practice location

2275 Channing Way
Idaho Falls, ID 83404-8012

Mailing address

2272 Enell St
Idaho Falls, ID 83402-2910
Phone (208) 313-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20180725001841 ID Practitioner - Nurse Practitioner 1355698382 Reassigns benefits to 1 organization
Practice locations: Idaho Falls, ID

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth a Sharp-Marsden FNP PLLCGroup PAC ID 2163764663, 4 clinicians

Practice addresses (Care Compare)

2275 Channing Way
Idaho Falls, ID 83404-8012
Phone (208) 900-3434

Hospital & facility affiliations

National Provider Directory

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

Organizations & group practices 1

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 4

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1740771898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 ENELL ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022910",
            "telephone_number": "208-313-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048012",
            "telephone_number": "208-900-3434",
            "fax_number": "208-701-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP-MARSDEN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "53940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.