Active NPI
Cheryl Soderlund, ANP-BC, GNP-BC, CDE
- Primary Care Nurse Practitioner
- Wellesley, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 226857
- Practice address
- 65 Walnut St Ste 360
Wellesley, MA 02481-2111 - Phone
- (781) 898-7301
- Fax
- (781) 898-7302
- NPI assigned
- Feb 28, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 226857 | MA | Primary |
Addresses
Primary practice location
65 Walnut St Ste 360
Wellesley, MA 02481-2111
Mailing address
65 Walnut St Ste 360
Wellesley, MA 02481-2111
Phone (781) 898-7301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
65 Walnut St
Suite 420
Wellesley, MA 02481-2197
Phone (781) 235-3444
Hospital & facility affiliations
- Mass General Brigham Home Care, Inc
- Newton-Wellesley Hospital
- Metrowest Medical Center
- Brigham and Women Faulkner Hospital
- Spaulding Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226857 | MA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Needham Wellesley Family Medicine PC | Current | Accepting new patients |
Locations
100 S Shore Dr
Ste 200
East Haven, CT 06512
Phone (217) 433-2804
65 Walnut St
Ste 420
Wellesley Hls, MA 02481
Phone (781) 235-3444
65 Walnut St
Ste 201
Wellesley Hls, MA 02481
Phone (781) 237-3395
Organizations & group practices 1
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.
-
- Clinic/Center
- Wellesley Hills, MA
- NPI 1679890164
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Framingham, MA
- NPI 1740252592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1205964665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 WALNUT ST STE 360",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812111",
"telephone_number": "781-898-7301",
"fax_number": "781-898-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 WALNUT ST STE 360",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812111",
"telephone_number": "781-898-7301",
"fax_number": "781-898-7302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SODERLUND",
"first_name": "CHERYL",
"credential": "ANP-BC, GNP-BC, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "226857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.