Active NPI
Cheryl L Jeffers, CNP
- Family Nurse Practitioner
- Maumee, OH
National Provider Identifier
1144533159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA11619NP
- Practice address
- 1661 Holland Rd
Maumee, OH 43537-4207 - Phone
- (419) 843-7800
- Fax
- (419) 843-7800
- NPI assigned
- Jul 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA11619NP | OH | Primary |
| Internal Medicine Physician | 207R00000X | COA 11619-NP | OH |
Addresses
Primary practice location
1661 Holland Rd
Maumee, OH 43537-4207
Mailing address
4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 473-3561
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COA11619NP | Other | OH | OH CNP LICENSE |
| 1144533159 | Medicaid | MI | |
| 3070948 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1661 Holland Rd
Maumee, OH 43537-4207
Phone (419) 843-7800
Hospital & facility affiliations
- Mercy St Vincent Medical Center
- Promedica Toledo Hospital
- Bay Park Community Hospital
- Wood County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA 11619-NP | OH | MD | Internal Medicine Physician |
| COA11619NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toledo Clinic Incorporated | Internal Medicine | Current | Accepting new patients |
| Toledo Clinic Incorporated | Current | Accepting new patients | |
| Toledo Clinic Incorporated | Current | Accepting new patients | |
| Toledo Clinic Incorporated | Past | Accepting new patients |
Locations
1661 Holland Rd
Maumee, OH 43537
Phone (419) 720-2005
2702 Navarre Ave
Ste 310
Oregon, OH 43616
Phone (419) 697-0569
1050 Isaac Streets Dr
Ste 134
Oregon, OH 43616
Phone (419) 696-7200
1103 Village Square Dr
Ste 100
Perrysburg, OH 43551
Phone (419) 872-3213
4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214
Interoperability endpoints
- cheryl.jeffers@toledoclinic.eclinicaldirectplus.com
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.
-
- Clinical Medical Laboratory
- Toledo, OH
- NPI 1114079167
-
- Podiatrist
- Sylvania, OH
- NPI 1952097073
-
- Durable Medical Equipment & Medical Supplies
- Oregon, OH
- NPI 1518019587
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oregon, OH
- NPI 1598765539
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Bowling Green, OH
- NPI 1790751253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144533159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234231",
"telephone_number": "419-473-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 HOLLAND RD",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435374207",
"telephone_number": "419-843-7800",
"fax_number": "419-843-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "CHERYL",
"middle_name": "L",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA11619NP",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "COA 11619-NP",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH CNP LICENSE",
"identifier": "COA11619NP",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144533159",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3070948",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.