Cheryl L Baxter
Individual provider Active NPI Nurse Practitioner · Stanton, MI
NPI 1174953582 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1174953582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209010891 (IL)
- Practice address
- 611 N State St
Stanton, MI 48888-9702 - Phone
- (899) 831-7520
- NPI assigned
- Nov 21, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Montcalm Care Network
Practice addresses (Care Compare)
611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520
Hospital & facility affiliations
- Spectrum Health United Hospital
- Mymichigan Medical Center Clare
- Sheridan Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140123000378 | IL | Practitioner - Nurse Practitioner | 2961630843 | |
| I20201012001655 | MI | Practitioner - Nurse Practitioner | 2961630843 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209010891 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montcalm Care Network | Current |
Accepting new patients |
Locations
611 N State St
Stanton, MI 48888
Phone (989) 831-7520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209010891 | IL | Yes |
Addresses
Primary practice location
611 N State St
Stanton, MI 48888-9702
Mailing address
611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520
Other providers in Stanton, MI
- Aubrianna M Barr
- Emily Carol Barr
- Lisa Barraza
- Lance G. Bartz
- Jennifer Marie Bauer
- Terra Bazzi
- Michelle Renee Bekkering
- Cynthia Bergakker
- Tianna Betser
- Joelle Black
All providers in Stanton, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.