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
Hospital & facility affiliations 4
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
Vantage Physical Therapy and Rehabilitation Inc
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
- Penn Highlands Connellsville
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110308000337 | PA | Practitioner - Nurse Practitioner | 0648452920 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- 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) 674-2218
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Jessica M Fleeger
- Alyssa Hannah
- Katelyn Harmon
- Amanda Lace Irwin
- Jennifer Wineberg Zeitler
- Shalva V Kakabadze
All providers in Reynoldsville, PA · Pediatric Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.