Individual provider Active NPI

Mendy Sharpe, F.N.P.

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1972047330
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010604 Issued in NC
Practice address
3610 Bush St
Raleigh, NC 27609
Phone
(919) 876-3130
Fax
(919) 876-3134
NPI assigned
Dec 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201609331NP-PP OR
Family Nurse Practitioner 363LF0000X 5010604 NC Primary

Addresses

Primary practice location

3610 Bush St
Raleigh, NC 27609

Mailing address

1502 W NC Highway 54 Ste 103
Durham, NC 27707-5572
Phone (919) 354-0840

Other practice location 1

528 E Main St
John Day, OR 97845-1289
Phone (541) 575-0429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20170228001095 OR Practitioner - Nurse Practitioner 0749564391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Counseling SolutionsGroup PAC ID 0446484885, 31 clinicians

Practice addresses (Care Compare)

528 E Main St E
John Day, OR 97845-1289
Phone (541) 575-0429

Hospital & facility affiliations

  • Blue Mountain Hospital Hospital, John Day, OR, CCN 381305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
139256NCMDFamily Nurse Practitioner
201609331NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Solutions CurrentSince Jan 21, 2017 Accepting new patients
Community Counseling Solutions CurrentSince Jan 21, 2017 Accepting new patients
Grant County Family Current Accepting new patients
Blue Mountain Hospital District CurrentSince Jun 1, 2025 Accepting new patients
Blue Mountain Hospital District Past Accepting new patients

Locations

170 Ford Rd
John Day, OR 97845
Phone (541) 575-1311

528 E Main St
Ste E
John Day, OR 97845
Phone (541) 575-0429

528 E Main St
John Day, OR 97845
Phone (541) 575-0429

180 Ford Rd
John Day, OR 97845
Phone (541) 575-0404

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4fb2ef4c-fc22-4675-b38f-5641155a5454/
  • Direct secure messaging: msharpe191902@direct.ochin.org

Organizations & group practices 5

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 1

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": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1972047330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W NC HIGHWAY 54 STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075572",
            "telephone_number": "919-354-0840",
            "fax_number": "919-748-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 BUSH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-876-3130",
            "fax_number": "919-876-3134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 E Main St",
            "address_purpose": "LOCATION",
            "city": "John Day",
            "state": "OR",
            "postal_code": "978451289",
            "country_code": "US",
            "telephone_number": "541-575-0429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "MENDY",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201609331NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.