Active NPI
Sharon L Stockwell, CNP
- Adult Health Nurse Practitioner
- Soldotna, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NP-03878
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2179584 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | smithveininstitute.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3878 | OH | MD | Clinical Psychologist |
| NP-03878 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith Vein Institute LLC | Current | Accepting new patients | |
| Vein Specialists of Alaska LLC | Current | Accepting new patients | |
| Primary Nurse Practitioner Inc | Past | 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
- 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.
-
- Phlebology Physician
- Wasilla, AK
- NPI 1558703199
-
- Phlebology Physician
- Concord Township, OH
- NPI 1609190982
-
- Nurse Practitioner
- Mentor, OH
- NPI 1225224132
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.