STACY LYNN SHARP (AGPCNP-BC) – Adult Health Nurse Practitioner, NPI 1407509219

STACY LYNN SHARP (AGPCNP-BC) is a healthcare provider. based in Colon, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 4704331146 (MI). The NPI Number for STACY LYNN SHARP (AGPCNP-BC) is 1407509219

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
STACY LYNN SHARP (AGPCNP-BC)
NPI
1407509219
Phone
(517) 617-6725
Address
31611 W COLON RD
Enumeration Date
1 February 2022
Last Update Date
2 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693198850
Graduation Year
2021 (5 years ago)
PAC ID
9537552518
Group Practice PAC ID
2264865633
Professional Enrollment ID
I20220216000372
Address ID
MI490911947ST104XXAVEX400

Contacts

Secure Messaging
angela@revolutionhealthpc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for STACY LYNN SHARP (AGPCNP-BC)

  • 31611 W COLON RD

    COLON, MI 490409528

    Phone: (517) 617-6725

    Type: Mailing

  • 104 S LAKEVIEW AVE

    STURGIS, MI 490911947

    Phone: (269) 319-8850

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 82 Open Payments records for all available years, with a total value of $1,266.

Total Amount is formed as General ($1,266) + Research ($0) + Ownership ($0) = $1,266.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($336).

Total Amount

$1,266

General + Research + Ownership

Payments

82

Total payment records

General Amount

$1,266

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220216000372INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes369134$0
36415Insertion of needle into vein for collection of blood sample11169$0
96372Injection of drug or substance under skin or into muscle4325$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
J2930Injection, methylprednisolone sodium succinate, up to 125 mg1513$0
View full utilization report →

Insurance plans in this area (ZIP 49040)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264865633View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Does STACY LYNN SHARP (AGPCNP-BC) have a public NPI I can cite?
Public records show STACY LYNN SHARP (AGPCNP-BC) under NPI 1407509219.
Should I treat STACY LYNN SHARP (AGPCNP-BC) as an active provider?
Patients and plans typically see STACY LYNN SHARP (AGPCNP-BC) as active in the national extract.
How should patients interpret STACY LYNN SHARP (AGPCNP-BC)'s specialty?
The extract shows Adult Health Nurse Practitioner for STACY LYNN SHARP (AGPCNP-BC). Clinical services aligned with this taxonomy classification.
Which community is linked to STACY LYNN SHARP (AGPCNP-BC)?
STACY LYNN SHARP (AGPCNP-BC) shows a connection to Colon, Michigan in registry-derived data.
Can I export STACY LYNN SHARP (AGPCNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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