Individual provider Active NPI

Julie Ann Sherk, CRNP

  • Family Nurse Practitioner
  • Newport, PA
National Provider Identifier
1861857096
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015776 Issued in PA
Practice address
300 Bretz CT
Suite 100
Newport, PA 17074-8614
Phone
(717) 567-3174
Fax
(717) 703-0018
NPI assigned
Dec 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015776 PA Primary

Addresses

Primary practice location

300 Bretz CT
Suite 100
Newport, PA 17074-8614

Mailing address

300 Bretz CT Ste 100
Newport, PA 17074-8615
Phone (717) 567-3174

Other identifiers 1

IdentifierTypeStateIssuer
103072632MedicaidPA

Other names 1

  • Mrs. Julie Ann Kindig Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsherk8090@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2016 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2016 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients

Locations

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

300 Bretz Ct
Ste 100
Newport, PA 17074
Phone (717) 567-3174

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": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1861857096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BRETZ CT STE 100",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748615",
            "telephone_number": "717-567-3174",
            "fax_number": "717-703-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRETZ CT",
            "address_2": "SUITE 100",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748614",
            "telephone_number": "717-567-3174",
            "fax_number": "717-703-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERK",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103072632",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsherk8090@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "300 Bretz Ct",
            "address_2": "Suite 100",
            "city": "Newport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170748614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "KINDIG",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.