Active NPI
Cheryl Ann Meyer, FNP-BC
- Family Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1225780661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 283421
- Practice address
- 6750 E Baywood Ave Ste 301
Mesa, AZ 85206-1749 - Phone
- (616) 340-5055
- Fax
- (480) 461-4243
- NPI assigned
- Jan 26, 2022
- Last updated
- Nov 14, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704321855 | MI | |
| Family Nurse Practitioner | 363LF0000X | 283421 | AZ | Primary |
Addresses
Primary practice location
6750 E Baywood Ave Ste 301
Mesa, AZ 85206-1749
Mailing address
6750 E Baywood Ave Ste 301
Mesa, AZ 85206-1749
Phone (616) 340-5055
Other practice location 1
36543 N Gantzel Rd Ste 101
San Tan Valley, AZ 85140-7347
Phone (480) 835-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283421 | Other | AZ | ARIZONA STATE BOARD OF NURSING |
| 2022009329 | Other | AMERICAN NURSES CREDENTIALING CENTER |
Other names 1
- Cheryl Ann Jaeger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704321855 | MI | MD | Registered Nurse |
| 283421 | AZ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1225780661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 E BAYWOOD AVE STE 301",
"city": "MESA",
"state": "AZ",
"postal_code": "852061749",
"telephone_number": "616-340-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 E BAYWOOD AVE STE 301",
"city": "MESA",
"state": "AZ",
"postal_code": "852061749",
"telephone_number": "616-340-5055",
"fax_number": "480-461-4243"
}
],
"practiceLocations": [
{
"address_1": "36543 N Gantzel Rd Ste 101",
"address_purpose": "LOCATION",
"city": "San Tan Valley",
"state": "AZ",
"postal_code": "851407347",
"country_code": "US",
"telephone_number": "480-835-6100",
"fax_number": "480-461-4243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "CHERYL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704321855",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "283421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE BOARD OF NURSING",
"identifier": "283421",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN NURSES CREDENTIALING CENTER",
"identifier": "2022009329",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "JAEGER",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.