Active NPI
Sharon Gilmore, CRNP
- Pediatric Nurse Practitioner
- Reynoldsville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP007736
- Practice address
- 5 N 3Rd St
Reynoldsville, PA 15851-0907 - Phone
- (814) 653-8222
- Fax
- (814) 653-9305
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP007736 | PA | Primary |
Addresses
Primary practice location
5 N 3Rd St
Reynoldsville, PA 15851-0907
Mailing address
PO Box 447
Du Bois, PA 15801-0447
Phone (814) 653-8222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1464 N Main St
Suite 15
Punxsutawney, PA 15767-2609
Phone (814) 938-1905
336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP007736 | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearfield-Jefferson Primary Care Associates PC | Current | Accepting new patients | |
| Dubois Regional Medical Group, PC | Past | Accepting new patients | |
| Dubois Regional Medical Center | Past | Accepting new patients |
Locations
15 N Front St
Clearfield, PA 16830
Phone (570) 561-2990
33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990
503 Railroad Ave
Patton, PA 16668
Phone (814) 674-3693
1464 N Main St
Punxsutawney, PA 15767
Phone (814) 765-3533
1464 N Main St
Ste 15
Punxsutawney, PA 15767
Phone (814) 938-1905
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1710233895
-
- Rehabilitation Clinic/Center
- Johnstown, PA
- NPI 1487693313
-
dba Penn Highlands DuBois
- General Acute Care Hospital
- Du Bois, PA
- NPI 1144249657
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1093956617
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conemaugh Miners Medical Center
- Critical Access Hospital
- Hastings, PA
- NPI 1184620486
-
- Psychiatric Hospital Unit
- Connellsville, PA
- NPI 1124053467
-
dba Penn Highlands Connellsville
- General Acute Care Hospital
- Connellsville, PA
- NPI 1144215039
-
dba Penn Highlands Connellsville
- Internal Medicine Physician
- Connellsville, PA
- NPI 1518680164
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1982799656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 447",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158010447",
"telephone_number": "814-653-8222",
"fax_number": "814-653-8164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 N 3RD ST",
"city": "REYNOLDSVILLE",
"state": "PA",
"postal_code": "158510907",
"telephone_number": "814-653-8222",
"fax_number": "814-653-9305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "SHARON",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP007736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reynoldsville, PA
- Dubois Regional Medical Center (DRMC PCA Reynoldsville)
- Dubois Regional Medical Center
- Dubois Regional Medical Center (Penn Highlands Family Medicine - Kakabadze)
- Dubois Regional Medical Center (McCabe Drug)
- Jessica M Fleeger, LPC
- Alyssa Hannah, PA
- Katelyn Harmon
- Amanda Lace Irwin, FNP
- Jennifer Wineberg Zeitler
- Shalva V Kakabadze, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.