Sharon Gilmore, CRNP

Individual provider Active NPI Pediatric Nurse Practitioner · Reynoldsville, PA

NPI 1982799656 · NPPES record last updated Jul 26, 2011

Key facts

NPI
1982799656
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
SP007736 (PA)
Practice address
5 N 3Rd St
Reynoldsville, PA 15851-0907
Phone
(814) 653-8222
Fax
(814) 653-9305
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearfield-Jefferson Primary Care Associates PC (73 clinicians)
Vantage Physical Therapy and Rehabilitation Inc (253 clinicians)

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

  • Conemaugh Miners Medical Center Hospital · Hastings, PA · CCN 391317
  • Penn Highlands Connellsville Hospital · Connellsville, PA · CCN 390184

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110308000337 PA Practitioner - Nurse Practitioner 0648452920 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clearfield-Jefferson Primary Care Associates PC Current
since Nov 9, 2019
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) 674-2218

1464 N Main St
Ste 15
Punxsutawney, PA 15767
Phone (814) 938-1905

1464 N Main St
Punxsutawney, PA 15767
Phone (814) 938-7990

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP007736 PA Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 26, 2011.

{
    "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

All providers in Reynoldsville, PA · Pediatric Nurse Practitioner in Pennsylvania

Sources for this page

Verify at the official NPI Registry.