Active NPI
Jaclyn Michelle Cherry, RN, ACNP
- Acute Care Nurse Practitioner
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP009771
- Practice address
- 100 Clayton Street, Suite 500
Pulmonary Associates
Wilmington, DE 19803 - Phone
- (302) 656-2296
- NPI assigned
- Apr 1, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN557986 | PA | |
| Registered Nurse | 163W00000X | L1-0030704 | DE | |
| Nurse Practitioner | 363L00000X | LZ-0000113 | DE | |
| Acute Care Nurse Practitioner | 363LA2100X | SP009771 | PA | Primary |
Addresses
Primary practice location
100 Clayton Street, Suite 500
Pulmonary Associates
Wilmington, DE 19803
Mailing address
203 Bromley Dr
Wilmington, DE 19808-1375
Phone (302) 256-0653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091006000283 | DE | Practitioner - Nurse Practitioner | 8426194457 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 623-7600
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Hospital & facility affiliations
- Christiana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0030704 | DE | MD | Registered Nurse |
| RN557986 | PA | MD | Registered Nurse |
| LZ-0000113 | DE | MD | Nurse Practitioner |
| SP009771 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Pulmonary Associates P.a. | Past | Accepting new patients | |
| Christiana Care Health Services, Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
4745 Stanton Ogletwn Rd
Newark, DE 19713
Phone (302) 623-7600
4735 Ogletown Stanton Rd
Ste 2224
Newark, DE 19713
Phone (302) 266-0355
4745 Stanton Ogletwn Rd
Ste 220
Newark, DE 19713
Phone (302) 368-5515
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Family Medicine Physician
- Hockessin, DE
- NPI 1134104565
Nurse Practitioner
-
- Pulmonary Disease Physician
- Wilmington, DE
- NPI 1750336541
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1124290937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 BROMLEY DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198081375",
"telephone_number": "302-256-0653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CLAYTON STREET, SUITE 500",
"address_2": "PULMONARY ASSOCIATES",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19803",
"telephone_number": "302-656-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERRY",
"first_name": "JACLYN",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "RN, ACNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN557986",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0030704",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LZ-0000113",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP009771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.