Individual provider Active NPI

Sharon L Paine, NP

  • Family Nurse Practitioner
  • Caddo Mills, TX
National Provider Identifier
1760653174
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
583469 Issued in TX
Practice address
4264 State Highweay 66
Suite a
Caddo Mills, TX 75135-6232
Phone
(903) 527-0110
Fax
(903) 408-0111
NPI assigned
Mar 13, 2008
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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 583469 TX Primary

Addresses

Primary practice location

4264 State Highweay 66
Suite a
Caddo Mills, TX 75135-6232

Mailing address

4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856
Phone (903) 455-4767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20081009000037 TX Practitioner - Nurse Practitioner 4486722030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunt Regional Urgent CareGroup PAC ID 1850729682, 31 clinicians

Practice addresses (Care Compare)

3206 Interstate 30
Suite B
Greenville, TX 75402-7002
Phone (903) 408-7979

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hunt Regional Urgent Care CurrentSince May 1, 2022 Accepting new patients
Hunt Regional Medical Partners Current Accepting new patients
Hunt Regional Medical Partners CurrentSince Feb 1, 2022 Accepting new patients
Pca-C Past Accepting new patients

Locations

4264 State Highway 66
Ste A
Caddo Mills, TX 75135
Phone (903) 527-0110

3206 Interstate Highway 30
Ste B
Greenville, TX 75402
Phone (903) 408-7979

4211 Joe Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-7700

4211 Joe Ramsey Blvd E
Ste 100
Greenville, TX 75401
Phone (903) 408-7700

734 E Quinlan Pkwy
#A
Quinlan, TX 75474
Phone (903) 356-2144

810 E Ralph Hall Pkwy
Ste 100
Rockwall, TX 75032
Phone (469) 402-3400

576 W Interstate 30
Royse City, TX 75189
Phone (469) 351-0100

Interoperability endpoints

  • Direct secure messaging: sharon.paine.1@9148.direct.athenahealth.com

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, 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": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1760653174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 JOE RAMSEY BLVD E STE 100",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017856",
            "telephone_number": "903-455-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4264 STATE HIGHWEAY 66",
            "address_2": "SUITE A",
            "city": "CADDO MILLS",
            "state": "TX",
            "postal_code": "751356232",
            "telephone_number": "903-527-0110",
            "fax_number": "903-408-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "SHARON",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2022-01-03",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "583469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caddo Mills, TX

Sources for this page

Verify at the official NPI Registry.