Individual provider Active NPI

Sharon Denise Grush, FNP-C

  • Family Nurse Practitioner
  • Montgomery, TX
National Provider Identifier
1962846220
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
703586 Issued in TX
Practice address
507 Fantasy LN
Montgomery, TX 77356-4737
Phone
(409) 363-3783
NPI assigned
Apr 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 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 703586 TX Primary

Addresses

Primary practice location

507 Fantasy LN
Montgomery, TX 77356-4737

Mailing address

507 Fantasy LN
Montgomery, TX 77356-4737
Phone (409) 363-3783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230508002490 TX Practitioner - Nurse Practitioner 4688062987 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Practice addresses (Care Compare)

17002 Gleneagle Dr S
Conroe, TX 77385-4614
Phone (832) 447-7123

3551 Hwy 6
Sugar Land, TX 77478-4404
Phone (832) 324-9996

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
703586TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince May 3, 2025 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
Conroe Doctors Urgent Care LLC CurrentSince Nov 22, 2024 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Jan 14, 2023 Accepting new patients
Doctors Urgent Care LLC CurrentSince Jul 18, 2024 Accepting new patients
TMC Provider Group PLLC CurrentSince May 3, 2025 Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients

Locations

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

17002 Gleneagle Dr S
Conroe, TX 77385
Phone (832) 447-7123

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

3551 Highway 6
Sugar Land, TX 77478
Phone (832) 324-9996

25118 Grogans Mill Rd
The Woodlands, TX 77380
Phone (346) 472-2500

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/25054/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1962846220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 FANTASY LN",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773564737",
            "telephone_number": "409-363-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 FANTASY LN",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773564737",
            "telephone_number": "409-363-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSH",
        "first_name": "SHARON",
        "middle_name": "DENISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "703586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

Verify at the official NPI Registry.