Individual provider Active NPI

Sharon C Upton, ACNP

  • Acute Care Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1851408744
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R748986 Issued in MS
Practice address
551 Azalea Dr
Oxford, MS 38655-7900
Phone
(662) 234-0332
Fax
(662) 234-2891
NPI assigned
Aug 24, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R748986 MS Primary

Addresses

Primary practice location

551 Azalea Dr
Oxford, MS 38655-7900

Mailing address

551 Azalea Dr
Oxford, MS 38655-7900
Phone (662) 234-0332

Other identifiers 1

IdentifierTypeStateIssuer
123197MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040303000716 MS Practitioner - Nurse Practitioner 0143117192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates of OxfordGroup PAC ID 1153405592, 7 clinicians

Practice addresses (Care Compare)

551 Azalea Dr
Oxford, MS 38655-7900
Phone (662) 234-0332

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R748986MSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ima at Home LLC Current Accepting new patients
Internal Medicine Associates of Oxford CurrentSince Feb 22, 2001 Accepting new patients
Urgent Care Clinic of Oxford PastSince Dec 1, 2010 Accepting new patients
Oxford Outpatient Center, LLC Past Accepting new patients

Locations

551 Azalea Dr
Oxford, MS 38655
Phone (662) 234-0332

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IABFAA

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 3

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1851408744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 AZALEA DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557900",
            "telephone_number": "662-234-0332",
            "fax_number": "662-234-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 AZALEA DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557900",
            "telephone_number": "662-234-0332",
            "fax_number": "662-234-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTON",
        "first_name": "SHARON",
        "middle_name": "C",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R748986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123197",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.