DR. MONICA SHARMA MD
NPI 1962084723
Internal Medicine in Fort Atkinson, WI

Active since April 22, 2021PECOS EnrolledAccepts Medicare Assignment
611 SHERMAN AVE E, FORT ATKINSON, WI 53538(920) 568-6090 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Apr 22, 2021 (2 updates tracked since 2021).

About Dr. Monica Sharma Md NPPES

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

DR. MONICA SHARMA MD (NPI 1962084723) is an individual internal medicine provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (84131) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1962084723
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MONICA SHARMACredential: MD
Location Address611 SHERMAN AVE EFort Atkinson, WI 53538-1960
Mailing AddressPo Box 249Fort Atkinson, WI 53538-0249 · (209) 563-4466 · Fax (209) 568-4004
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2021
Enumeration DateApril 22, 2021
Last NPPES UpdateJune 13, 20242 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
NPI 1962084723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 84131
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
611 SHERMAN AVE E, Fort Atkinson, WI 53538

Secondary Practice Location 1

Location 12100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 744-2663 · Fax (252) 744-2419

Accepted 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

Dr. Monica Sharma Md 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 ID5496156614
PECOS Enrollment IDI20240802003197
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.

Areas of Expertise CMS Part B claims 4

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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
51 services51 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.
48 services30 patients
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.
42 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53538 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Nurse Practitioner
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Physician Assistant
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Emergency Medicine
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Psychiatry & Neurology (Neurology)
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Social Worker
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Physical Therapist
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Nurse Anesthetist, Certified Registered
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Nurse Practitioner (Adult Health)
611 SHERMAN AVE E
FORT ATKINSON, WI 53538

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 Monica Sharma's NPI number?

The NPI number for Monica Sharma is 1962084723. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Monica Sharma located?

Monica Sharma practices at 611 Sherman Ave E, Fort Atkinson, WI 53538. The listed phone number is (920) 568-6090.

What is Monica Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Monica Sharma enrolled in Medicare?

Yes. Monica 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.

What insurance does Monica Sharma accept?

Health plans from Group Health Cooperative-SCW list Monica 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 Monica Sharma affiliated with any hospitals?

According to CMS data, Monica Sharma is affiliated with Fort Memorial Hospital, Ssm Health St Mary's Hospital - Madison and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Monica Sharma was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.