Elizabeth Scharf Sharp, PA-C – Physician Assistant

Key facts

NPI: 1801207147
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 4652 (CT)
Practice address: 76 New Britain Ave
Hartford, CT 06106-3305
Phone: (860) 545-9300
NPI assigned: May 8, 2014
Sex: Female
Sole proprietor: No

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.

Community Health Services, Inc. Federally Qualified Health Center (FQHC) · Hartford, CT · NPI 1730284605

Medicare reassignment CT
Community Health Services, Inc. Federally Qualified Health Center (FQHC) · Hartford, CT · NPI 1750632659

NPD
Northlake Pediatric Associates,PC Pediatrics Physician · Stone Mountain, GA · NPI 1518174036

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20191212000394	CT	Practitioner - Physician Assistant	3678906211	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
4652	CT	MD	Counselor

Practice roles

Organization	Specialty	Status	New patients
Community Health Services, Inc.		Current since Nov 1, 2019	Accepting new patients
Northlake Pediatric Associates,PC		Past	Accepting new patients

Locations

500 Albany Ave
Hartford, CT 06120
Phone (860) 249-9625

Interoperability endpoints

Direct secure messaging: elizabeth.sharp@chcict.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	4652	CT	Yes

Addresses

Primary practice location

76 New Britain Ave
Hartford, CT 06106-3305

Mailing address

500 Albany Ave
Hartford, CT 06120-2508
Phone (860) 249-9625

Other practice location 1

1805 Parke Plaza Cir
Suite 103
Stone Mountain, GA 30087-3637
Phone (770) 498-9355

Other practice location 2

500 Albany Ave
Hartford, CT 06120
Phone (860) 249-9625

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 2, 2023.

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1801207147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALBANY AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061202508",
            "telephone_number": "860-249-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 NEW BRITAIN AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063305",
            "telephone_number": "860-545-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 Parke Plaza Cir",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300873637",
            "country_code": "US",
            "telephone_number": "770-498-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Albany Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06120",
            "country_code": "US",
            "telephone_number": "860-249-9625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "ELIZABETH",
        "middle_name": "SCHARF",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

All providers in Hartford, CT · Physician Assistant in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.