Active NPI
Cheryl Ann Matchen, R.N.
- Registered Nurse
- Lake Geneva, WI
National Provider Identifier
1023079977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 114865-030
- Practice address
- W2892 Krueger Rd
Lake Geneva, WI 53147-2755 - Phone
- (608) 206-0859
- NPI assigned
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 114865-030 | WI | Primary |
Addresses
Primary practice location
W2892 Krueger Rd
Lake Geneva, WI 53147-2755
Mailing address
W2892 Krueger Rd
Lake Geneva, WI 53147-2755
Phone (608) 206-0859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39949000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114865-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1023079977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W2892 KRUEGER RD",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531472755",
"telephone_number": "608-206-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W2892 KRUEGER RD",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531472755",
"telephone_number": "608-206-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATCHEN",
"first_name": "CHERYL",
"middle_name": "ANN",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "114865-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39949000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.