SHARON WORLTON NP NPI 1003422858

Registered Nurse in Fort Wayne, IN

NPI 1003422858 Individual Female Years of Experience 3 Registered Nurse PECOS Enrolled Accepts Medicare Approved Payment

About SHARON WORLTON

Sharon Worlton is a provider established in Fort Wayne, Indiana and her medical specialization is registered nurse with more than 3 years of experience. The NPI number of Sharon Worlton is 1003422858 and was assigned on September 2020. The practitioner's primary taxonomy code is 163W00000X with license number 28254775A (IN). The provider is registered as an individual and her NPI record was last updated one year ago.

Sharon Worlton is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Sharon Worlton is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Parkview Regional Medical Center.

NPI

1003422858

Provider Name SHARON WORLTON NP
Provider Location Address11104 PARKVIEW CIRCLE DR STE 330 FORT WAYNE, IN 46845
Provider Mailing Address120 W 22ND ST STE 200 OAK BROOK, IL 60523
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2019
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-17-2020
Last Update Date09-17-2020


Primary Taxonomy

Taxonomy Code163W00000X
ClassificationRegistered Nurse
TypeNursing Service Providers
License No.28254775A
License StateIN
Taxonomy Description(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Business Address

SHARON WORLTON NP
11104 PARKVIEW CIRCLE DR STE 330
FORT WAYNE, IN
ZIP 46845
Phone: (260) 494-3484
Fax: (260) 969-0188

Get Directions


Mailing Address

SHARON WORLTON NP
120 W 22ND ST STE 200
OAK BROOK, IL
ZIP 60523
Phone: (630) 573-5000



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4587084678
PECOS Enrollment IDI20201012000112, I20201020002713
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sharon Worlton is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PARKVIEW REGIONAL MEDICAL CENTER11109 PARKVIEW PLAZA DRIVE
FORT WAYNE, IN 46845
(260) 266-1000Acute Care Hospitals150021

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
09241969OTHER (01)

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992311849 NATASHA SINANON-OYENEYE APN
Individual
Registered Nurse11104 PARKVIEW CIRCLE DR STE 330
FORT WAYNE, IN 46845
(260) 494-3484
1598792681 JOHN PAUL RICHARD PA
Individual
Physician Assistant (Medical)11104 PARKVIEW CIRCLE DR STE 330
FORT WAYNE, IN 46845
(260) 494-3484
1073729125DR. GARIMA GUPTA MD
Individual
Internal Medicine (Nephrology)11104 PARKVIEW CIRCLE DR STE 330
FORT WAYNE, IN 46845
(260) 471-5114

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.