Individual provider Active NPI

Sharlene Chisolm, FNP-BC

  • Family Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1902575251
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348422 Issued in NY
Practice address
97 Juniper Hill Rd
White Plains, NY 10607-2121
Phone
(914) 707-8400
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 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 348422 NY Primary

Addresses

Primary practice location

97 Juniper Hill Rd
White Plains, NY 10607-2121

Mailing address

97 Juniper Hill Rd
White Plains, NY 10607-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221014001109 NY Practitioner - Nurse Practitioner 2062888183 Reassigns benefits to 7 organizations
I20231026004065 GA Practitioner - Nurse Practitioner 2062888183 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348422NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Five Star Medical Office PC CurrentSince Jun 17, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Sep 1, 2022 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Sep 1, 2022 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Sep 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 12, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 1, 2022 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Sep 9, 2023 Accepting new patients
Essen Medical Associates,PC CurrentSince Sep 1, 2022 Accepting new patients
Urban Family Practice PC Family CurrentSince Jul 8, 2024 Accepting new patients
Careathome Medical Practice Family CurrentSince Jun 17, 2024 Accepting new patients
Perfect Health PC PastSince Jun 9, 2024 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

2015 Grand Concourse
#13202
Bronx, NY 10453

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

169 Madison Ave
Ste 2829
New York, NY 10016

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 12

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1902575251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 JUNIPER HILL RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106072121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 JUNIPER HILL RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106072121",
            "telephone_number": "914-707-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISOLM",
        "first_name": "SHARLENE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.