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MS. BHAVNA SHARMA APN-CNP
NPI 1326567173
Nurse Practitioner in Arlington Heights, IL

Active since September 13, 2017PECOS EnrolledAccepts Medicare Assignment
89.66/100
CMS Quality Rating
1632 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005(847) 618-2500(847) 253-8474 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 6, 2022, Sep 13, 2017 (2 updates tracked since 2017).

About Ms. Bhavna Sharma Apn-cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BHAVNA SHARMA APN-CNP (NPI 1326567173) is an individual nurse practitioner in Arlington Heights, Illinois, licensed in Illinois (209016150) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1326567173
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. BHAVNA SHARMACredential: APN-CNP
Location Address1632 W CENTRAL RDArlington Heights, IL 60005-2407
Mailing Address1632 W Central RdArlington Heights, IL 60005-2407 · (847) 618-2500 · Fax (847) 253-8474
Phone(847) 618-2500
Fax(847) 253-8474
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 13, 2017
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1326567173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209016150
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041-377098 (IL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209-016150 (IL)
1632 W CENTRAL RD, Arlington Heights, IL 60005
Open in Google Maps ↗

Other Identifiers 4

OtherIL6305IL · Group Medicare Ptan
OtherIL6304IL · Group Medicare Ptan
Other1720371669IL · Group Npi
Other209016150IL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Bhavna Sharma Apn-cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052678810
PECOS Enrollment IDI20171204000148
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Bhavna Sharma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Community Health Services Inc
0.3 mi
Obstetrics
880 W CENTRAL RD STE 6200
Arlington Heights, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • 346 clinicians in this Medicare group
NPI 1467057513 (847) 618-0730
Cardiovascular Institute Gpe Inc
22 mi
Cardiovascular Disease
10 MARTIN AVE STE 200
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 61 clinicians in this Medicare group
NPI 1992594022 (630) 600-0700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
117 services99 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
65 services57 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.32
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL A RUZUMNA M.D.
Internal Medicine (Cardiovascular Disease)
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-2500
MELISSA VIZZA
Physician Assistant
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-2500
DR. GILBERT A SITA M.D.
Internal Medicine (Interventional Cardiology)
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-2500
SUSAN D TAFINI NP
Nurse Practitioner
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-2500
MICHAEL R BAUER M.D.
Internal Medicine (Cardiovascular Disease)
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-2500
DR. STEPHEN M ZAACKS M.D.
Internal Medicine (Cardiovascular Disease)
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-2500
WILLIAM SUHR M.D.
Internal Medicine (Cardiovascular Disease)
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-2500
DR. NARAYAN MICHAEL SAHA M.D.
Internal Medicine (Cardiovascular Disease)
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 618-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bhavna Sharma's NPI number?

The NPI number for Bhavna Sharma is 1326567173. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Bhavna Sharma located?

Bhavna Sharma practices at 1632 W Central Rd, Arlington Heights, IL 60005. The listed phone number is (847) 618-2500.

What is Bhavna Sharma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Bhavna Sharma enrolled in Medicare?

Yes. Bhavna Sharma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Bhavna Sharma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bhavna Sharma reassigns Medicare benefits to 2 organizations: Northwest Community Health Services Inc (Arlington Heights, IL) and Cardiovascular Institute Gpe Inc (Naperville, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bhavna Sharma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bhavna Sharma accept?

Health plans from Oscar Health list Bhavna Sharma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bhavna Sharma affiliated with any hospitals?

According to CMS data, Bhavna Sharma is affiliated with Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Bhavna Sharma was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.