Individual provider Active NPI

Cheryl Soderlund, ANP-BC, GNP-BC, CDE

  • Primary Care Nurse Practitioner
  • Wellesley, MA
National Provider Identifier
1205964665
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
226857 Issued in MA
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

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402001105 MA Practitioner - Nurse Practitioner 4688666043 Reassigns benefits to 1 organization

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
Needham Wellesley Family Medicine PCGroup PAC ID 6507982873, 9 clinicians

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 Home health agency, Newton, MA, CCN 227207
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226857MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Needham Wellesley Family Medicine PC CurrentSince Feb 19, 2024 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.