Individual provider Active NPI

Sharon Ann McGlorn, MSN, ANP-BC

  • Adult Health Nurse Practitioner
  • Florissant, MO
National Provider Identifier
1881826329
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
122374 Issued in MO
Practice address
5279 Longhorn TRL
Florissant, MO 63033-7728
Phone
(314) 355-8821
Fax
(314) 355-8821
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 122374 MO Primary
Registered Nurse 163W00000X 122374 MO
Adult Health Nurse Practitioner 363LA2200X 209007748 IL
Registered Nurse 163W00000X 041323059 IL

Addresses

Primary practice location

5279 Longhorn TRL
Florissant, MO 63033-7728

Mailing address

5279 Longhorn TRL
Florissant, MO 63033-7728
Phone (314) 355-8821

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
I20110211000570 IL Practitioner - Nurse Practitioner 7113107848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
041323059ILMDRegistered Nurse
122374MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physician Group, Illinois LLC CurrentSince Jan 1, 2026 Accepting new patients
Inpatient Consultants of Missouri Inc Past Accepting new patients

Locations

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

3402 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 307-7900

115 E South St
Ste F
Plano, IL 60545
Phone (630) 551-3666

Organizations & group practices 2

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": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1881826329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5279 LONGHORN TRL",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630337728",
            "telephone_number": "314-355-8821",
            "fax_number": "314-355-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5279 LONGHORN TRL",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630337728",
            "telephone_number": "314-355-8821",
            "fax_number": "314-355-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLORN",
        "first_name": "SHARON",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSN, ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "122374",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "122374",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209007748",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041323059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.