Individual provider Active NPI

Cheryl Ann Meyer, FNP-BC

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1225780661
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
283421 Issued in AZ
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704321855 MI
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
283421OtherAZARIZONA STATE BOARD OF NURSING
2022009329OtherAMERICAN NURSES CREDENTIALING CENTER

Other names 1

  • Cheryl Ann Jaeger Former name

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704321855MIMDRegistered Nurse
283421AZMDFamily 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

Verify at the official NPI Registry.