Physician Compare National (NPI:1174527899)

HEALTHCARE PROVIDER: SHARON FREEMAN CLEVENGER MA, MSN, PMHCNS-BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1174527899
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456314855
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041106000204
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CLEVENGER
	Individual professional last name
Provider First Name	SHARON
	Individual professional first name
Provider Middle Name	FREEMAN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	CNS
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	CERTIFIED CLINICAL NURSE SPECIALIST (CNS)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	423 AIRPORT N OFFICE PARK
	Group Practice or individual's line 1 address
Line 2 Street Address	AIRPORT NORTH
	Group Practice or individual's line 2 address
City	FORT WAYNE
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	468256704
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y