SHARON M PHILBIN APRN
NPI 1598072621
Nurse Practitioner - Family in Pawtucket, RI

Active since September 10, 2010Opted out of Medicare · through Nov 6, 2026
100 LAFAYETTE ST # 302, PAWTUCKET, RI 02860(401) 444-0580(401) 444-0428 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2023, Jul 20, 2022, Jan 30, 2017 and 1 more (4 updates tracked since 2016).

About Sharon M Philbin Aprn NPPES

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

SHARON M PHILBIN APRN (NPI 1598072621) is an individual family provider in Pawtucket, Rhode Island, licensed in Rhode Island (APRN00980) and active in the NPI registry since September 2010. She has opted out of Medicare through November 6, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1598072621
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHARON M PHILBINCredential: APRN
Location Address100 LAFAYETTE ST # 302Pawtucket, RI 02860-6008
Mailing Address25 Chainey StSeekonk, MA 02771-4204 · (508) 639-9131
Fax(401) 444-0428
Sole ProprietorNo
Enumeration DateSeptember 10, 2010
Last NPPES UpdateMay 4, 20234 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
NPI 1598072621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in RI · APRN00980 Licensed in MA · RN176327
100 LAFAYETTE ST # 302, Pawtucket, RI 02860

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Sharon M Philbin Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 6, 2024 through November 6, 2026.

Opt-Out Effective DateNovember 6, 2024
Opt-Out In Effect ThroughNovember 6, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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

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

Nurse Practitioner (Family)
100 LAFAYETTE ST # 302
PAWTUCKET, RI 02860

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598072621, enumerated as an "individual" on September 10, 2010.

The provider is located at 100 LAFAYETTE ST # 302 PAWTUCKET, RI 02860 and the phone number is (401) 444-0580.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.