Cheryl Ann Countryman

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

245602 Issued in AZ

Practice address

5122 N 382ND Ave
Tonopah, AZ 85354-0140

Phone

(160) 237-7811

NPI assigned

Mar 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cheryl Ann Varin Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cogent Healthcare of Kentucky, PSCGroup PAC ID 0648294157, 106 clinicians

Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019
• Saint Joseph Mount Sterling Hospital, Mount Sterling, KY, CCN 180064
• Fleming County Hospital Hospital, Flemingsburg, KY, CCN 180780
• Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
• Adams County Regional Medical Center Hospital, Seaman, OH, CCN 361326

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  KY

  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Kentucky, PSC

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1053362293
  Medicare reassignment Care Compare group

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

• Adams County Regional Medical Center

  • Critical Access Hospital
  • Seaman, OH
  • NPI 1851946909
  Care Compare affiliation
• Fleming Medical Center LLC

  • Critical Access Hospital
  • Flemingsburg, KY
  • NPI 1881726347
  Care Compare affiliation
• Meadowview Regional Medical Center LLC

  • Rural Health Clinic/Center
  • Maysville, KY
  • NPI 1821135518

  Hospital

  Care Compare affiliation
• Meadowview Regional Medical Center LLC

  • Rural Acute Care Hospital
  • Maysville, KY
  • NPI 1881785863
  Care Compare affiliation
• Saint Joseph Health System Inc

  • Clinical Medical Laboratory
  • Lexington, KY
  • NPI 1215227012

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1437150984
  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Mt Sterling, KY
  • NPI 1679679146
  Care Compare affiliation
• Saint Joseph Health System, Inc

  • Clinic/Center
  • Nicholasville, KY
  • NPI 1861650814

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1295593697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 N 382ND AVE",
            "city": "TONOPAH",
            "state": "AZ",
            "postal_code": "853540140",
            "telephone_number": "160-237-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 N 382ND AVE",
            "city": "TONOPAH",
            "state": "AZ",
            "postal_code": "853540140",
            "telephone_number": "160-237-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNTRYMAN",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "245602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "VARIN",
            "middle_name": "ANN",
            "credential": "AGACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caitlin Bjerga, RDCS, RVT
• Bernardo Calvillo Sanchez, SLPA
• Sinthia Calvillo
• Phuong Cao
• Lucyann Marie Castelamare, P.T.
• County of Maricopa Saddle Mountain Unified School
• Jennifer Lynn Dankworth, SLPA
• Patricia B. Elias, LPC
• Jasmine Monet Fitzsimmons
• Leslie Kendle Goodrum

• Acute Care Nurse Practitioner in Tonopah, AZ
• Providers in Tonopah, AZ by specialty
• Acute Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.

Verify at the official NPI Registry.