Individual provider Active NPI

Sharon L Smith, APRN

  • Family Nurse Practitioner
  • Broken Arrow, OK
National Provider Identifier
1891068938
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R103794 Issued in OK
Practice address
1150 E Lansing St
Broken Arrow, OK 74012-2429
Phone
(918) 921-7661
Fax
(918) 921-7662
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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 R103794 OK Primary

Addresses

Primary practice location

1150 E Lansing St
Broken Arrow, OK 74012-2429

Mailing address

1150 E Lansing St
Suite 201
Broken Arrow, OK 74012-2429
Phone (918) 921-7661

Other identifiers 3

IdentifierTypeStateIssuer
332898YLM3OtherOKMEDICARE PTAN
332898YXXJOtherOKMEDICARE PTAN
200436210AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20140227000600 OK Practitioner - Nurse Practitioner 1759511363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Pain SolutionsGroup PAC ID 2668620220, 13 clinicians

Practice addresses (Care Compare)

3905 S Hwy 97
Sand Springs, OK 74063-6670
Phone (918) 710-4112

4750 S Garnett Rd
Tulsa, OK 74146-5222
Phone (918) 710-4112

715 N Foreman St
Vinita, OK 74301-1422
Phone (918) 710-4112

Hospital & facility affiliations

  • Saint Francis Hospital Vinita, Inc Hospital, Vinita, OK, CCN 370237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R103794OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Pain Solutions CurrentSince Aug 4, 2020 Accepting new patients

Locations

1150 E Lansing St
Ste 201
Broken Arrow, OK 74012

1150 E Lansing St
Broken Arrow, OK 74012
Phone (918) 258-9111

3401 W Broadway St
Muskogee, OK 74401
Phone (918) 687-5477

3905 S Highway 97
Sand Springs, OK 74063
Phone (918) 245-7500

3905 S State Highway 97
Ste A
Sand Springs, OK 74063

7901 S Sheridan Rd
Tulsa, OK 74133

4750 S Garnett Rd
Tulsa, OK 74146
Phone (539) 812-2100

715 N Foreman St
Vinita, OK 74301
Phone (918) 256-8477

Interoperability endpoints

  • Direct secure messaging: ssmith@ppa-ok.direct.office.nextgen.com

Organizations & group practices 1

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.

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": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1891068938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E LANSING ST",
            "address_2": "SUITE 201",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122429",
            "telephone_number": "918-921-7661",
            "fax_number": "918-921-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E LANSING ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122429",
            "telephone_number": "918-921-7661",
            "fax_number": "918-921-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHARON",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R103794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "332898YLM3",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "332898YXXJ",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200436210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.