Individual provider Active NPI

Michele Ann Chereson, CRNP

  • Nurse Practitioner
  • Erie, PA
National Provider Identifier
1083127013
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP018093 Issued in PA
Practice address
1012 W Bayfront Pkwy
Erie, PA 16507-2324
Phone
(814) 455-1630
Fax
(260) 234-3428
NPI assigned
Nov 13, 2017
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP018093 PA
Nurse Practitioner 363L00000X SP018093 PA Primary

Addresses

Primary practice location

1012 W Bayfront Pkwy
Erie, PA 16507-2324

Mailing address

904 Wilkins Rd
Erie, PA 16505-1270
Phone (814) 490-9766

Other practice location 1

4855 W Ridge Rd
Erie, PA 16506-1213
Phone (814) 836-5321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180202000427 PA Practitioner - Nurse Practitioner 8527328996 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians

Practice addresses (Care Compare)

526 N Saint Cloud St
Suite 1601
Allentown, PA 18104-5041
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP018093PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Pennsylvania PC CurrentSince Mar 27, 2024 Accepting new patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince May 5, 2022 Accepting new patients
Allegheny Clinic Pediatrics PastSince Apr 1, 2022 Accepting new patients
Saint Vincent Medical Education and Research Institute Family Medicine Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

526 N Saint Cloud St
#1601
Allentown, PA 18104

526 N Saint Cloud St
Ste 1601
Allentown, PA 18104
Phone (267) 308-4902

1012 W Bayfront Pkwy
Erie, PA 16507
Phone (814) 304-0820

1910 Sassafras St
Ste 200
Erie, PA 16502
Phone (814) 452-5231

213 E 41st St
Erie, PA 16504
Phone (814) 452-5772

227 W 22nd St
Erie, PA 16502
Phone (814) 878-2611

3530 Peach St
Ste LL1
Erie, PA 16508

3822 Colonial Ave
Ste C
Erie, PA 16506
Phone (814) 616-0321

3822 Colonial Ave
Ste C2
Erie, PA 16506
Phone (814) 616-0321

4855 W Ridge Rd
Erie, PA 16506
Phone (814) 836-5300

7 E Locust St
Oxford, PA 19363
Phone (610) 998-2400

1 Penn Blvd
Philadelphia, PA 19144
Phone (215) 951-8060

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1083127013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 WILKINS RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165051270",
            "telephone_number": "814-490-9766",
            "fax_number": "260-234-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W BAYFRONT PKWY",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165072324",
            "telephone_number": "814-455-1630",
            "fax_number": "260-234-3428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4855 W Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165061213",
            "country_code": "US",
            "telephone_number": "814-836-5321",
            "fax_number": "814-836-5353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERESON",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP018093",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.