Individual provider Active NPI

Sharon Ruth Hasting, APN

  • Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1861638157
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
309-000993 Issued in IL
Practice address
1639 N Alpine Rd
Ste 403
Rockford, IL 61107-1440
Phone
(815) 990-3276
NPI assigned
Dec 17, 2008
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 309-000993 IL Primary

Addresses

Primary practice location

1639 N Alpine Rd
Ste 403
Rockford, IL 61107-1440

Mailing address

13216 E Krise Rd
Stockton, IL 61085-9403
Phone (815) 990-3276

Other names 1

  • Sharon Ruth Hasting Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150606000207 IL Practitioner - Nurse Practitioner 7517288228 Reassigns benefits to 1 organization
Practice locations: Rockford, IL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1639 N Alpine Rd
Suite 403
Rockford, IL 61107-1440
Phone (815) 990-3276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309-000993ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon R Hasting Apn CurrentSince Dec 15, 2019 Accepting new patients
Progressive Chiropractic Wellness & Rehab Centre, P.C. Past Accepting new patients
Clinic of Psychiatric Care Past Accepting new patients

Locations

1639 N Alpine Rd
Ste 403
Rockford, IL 61107
Phone (608) 492-1992

11875 US Highway 20 E
Stockton, IL 61085
Phone (815) 623-8600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1861638157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13216 E KRISE RD",
            "city": "STOCKTON",
            "state": "IL",
            "postal_code": "610859403",
            "telephone_number": "815-990-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 N ALPINE RD",
            "address_2": "STE 403",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071440",
            "telephone_number": "815-990-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTING",
        "first_name": "SHARON",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "309-000993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "HASTING",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.