Individual provider Active NPI

Sharon L Stockwell, CNP

  • Adult Health Nurse Practitioner
  • Soldotna, AK
National Provider Identifier
1790964997
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP-03878 Issued in OH
Practice address
34851 Kenai Spur Hwy Ste 7
Soldotna, AK 99669-7646
Phone
(907) 262-1900
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP-03878 OH Primary

Addresses

Primary practice location

34851 Kenai Spur Hwy Ste 7
Soldotna, AK 99669-7646

Mailing address

34851 Kenai Spur Hwy Ste 7
Soldotna, AK 99669-7646
Phone (907) 262-1900

Other identifiers 1

IdentifierTypeStateIssuer
2179584MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL smithveininstitute.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090311000041 OH Practitioner - Nurse Practitioner 4284790684 Reassigns benefits to 1 organization
I20211027001148 AK Practitioner - Nurse Practitioner 4284790684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vein Specialists of Alaska LLCGroup PAC ID 7113151622, 3 clinicians
Smith Vein Institute LLCGroup PAC ID 4486779543, 3 clinicians

Practice addresses (Care Compare)

2851 E Palmer Wasilla Hwy
Suite 4
Wasilla, AK 99654-7499
Phone (907) 631-3799

7536 Fredle Dr
Concord Township, OH 44077-9406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3878OHMDClinical Psychologist
NP-03878OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Vein Institute LLC CurrentSince Jul 1, 2018 Accepting new patients
Vein Specialists of Alaska LLC CurrentSince Sep 1, 2021 Accepting new patients
Primary Nurse Practitioner Inc PastSince Jul 6, 2007 Accepting new patients

Locations

2550 Denali St
Ste 1307
Anchorage, AK 99503
Phone (907) 375-8787

34851 Kenai Spur Hwy
Ste 7
Soldotna, AK 99669
Phone (907) 262-1900

34851 Kenai Spur Hwy
Ste 1
Soldotna, AK 99669
Phone (907) 262-1900

2521 E Mountain Village Dr
Ste B437
Wasilla, AK 99654

2851 E Palmer Wasilla Hwy
Ste 4
Wasilla, AK 99654
Phone (907) 631-3799

7536 Fredle Dr
Concord Township, OH 44077
Phone (440) 350-6500

Interoperability endpoints

  • Direct secure messaging: sstockwell28248@ehrdirect.uhhospitals.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1790964997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34851 KENAI SPUR HWY STE 7",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697646",
            "telephone_number": "907-262-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34851 KENAI SPUR HWY STE 7",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697646",
            "telephone_number": "907-262-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKWELL",
        "first_name": "SHARON",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP-03878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2179584",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "smithveininstitute.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7536 Fredle Dr",
            "city": "Concord Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440779406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.