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SHARA CRADDOCK SHORT
NPI 1366045023
Nurse Practitioner - Psychiatric/Mental Health in Hampton, VA

Active since November 17, 2020PECOS EnrolledAccepts Medicare Assignment
2208 EXECUTIVE DR, HAMPTON, VA 23666(757) 827-7707 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2025, Jan 5, 2021, Nov 18, 2020 (3 updates tracked since 2020).

About Shara Craddock Short NPPES

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

SHARA CRADDOCK SHORT (NPI 1366045023) is an individual psychiatric/mental health provider in Hampton, Virginia, licensed in Virginia (0024180538) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366045023
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHARA CRADDOCK SHORT
Location Address2208 EXECUTIVE DRHampton, VA 23666-6603
Mailing Address2202 Executive Dr Ste CHampton, VA 23666-6604 · (757) 827-7707
Phone(757) 827-7707
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 17, 2020
Last NPPES UpdateApril 18, 20253 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
✔ NPI 1366045023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024180538
2208 EXECUTIVE DR, Hampton, VA 23666
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shara Craddock Short 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 ID8123497351
PECOS Enrollment IDI20230619000038
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23666 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 8

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

OLUTOYIN OSENIOLA AKINYANJU
Nurse Practitioner (Psychiatric/Mental Health)
2208 EXECUTIVE DR
HAMPTON, VA 23666
Hampton City (757) 827-7707
ANDREANNE GINGRAS M.D.
Psychiatry & Neurology (Psychiatry)
2208 EXECUTIVE DR
HAMPTON, VA 23666
Hampton City (757) 826-7516
ESTELA ROMAN LPC
Counselor (Professional)
2208 EXECUTIVE DR
HAMPTON, VA 23666
Hampton City (757) 827-7707
MS. BARBARA J TOWNSEND L.C.S.W.
Social Worker (Clinical)
2208 EXECUTIVE DR, SUITE A
HAMPTON, VA 23666
Hampton City (757) 826-7516
KEN J TOMPKINS MD PC
Dermatology
2208 EXECUTIVE DR, SUITE D
HAMPTOON, VA 23666
Hampton City (757) 825-1440
MARIE HELENE GINGRAS
Social Worker (Clinical)
2208 EXECUTIVE DR, SUITE C
HAMPTON, VA 23666
Hampton City (757) 826-7516
EILEEN KULP L.C.S.W
Social Worker (Clinical)
2208 EXECUTIVE DR, SUITE E
HAMPTON, VA 23666
Hampton City (757) 826-7516
ERIK E MENJIVAR LCSW
Social Worker (Clinical)
2208 EXECUTIVE DR
HAMPTON, VA 23666
Hampton City (757) 827-7707

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 Shara Short's NPI number?

The NPI number for Shara Short is 1366045023. It was assigned to this individual provider in the NPPES registry on November 17, 2020.

Where is Shara Short located?

Shara Short practices at 2208 Executive Dr, Hampton, VA 23666. The listed phone number is (757) 827-7707.

What is Shara Short's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shara Short enrolled in Medicare?

Yes. Shara Short 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.

What insurance does Shara Short accept?

Health plans from Providence Health Plan list Shara Short 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.

When was this NPI record last updated?

The NPPES record for Shara Short was last updated on April 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.