Individual provider Active NPI

Sharon Gilmore, CRNP

  • Pediatric Nurse Practitioner
  • Reynoldsville, PA
National Provider Identifier
1982799656
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
SP007736 Issued in PA
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

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

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
Clearfield-Jefferson Primary Care Associates PCGroup PAC ID 6002064433, 73 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP007736PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince 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) 674-3693

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.

Hospital & facility affiliations 4

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": "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

Sources for this page

Verify at the official NPI Registry.