Individual provider Active NPI

Sheryl Ann Peteuil, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1306877170
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
047042 Issued in AZ
Practice address
4550 E Bell Rd
Suite 172
Phoenix, AZ 85032-9306
Phone
(480) 443-8400
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 047042 AZ Primary

Addresses

Primary practice location

4550 E Bell Rd
Suite 172
Phoenix, AZ 85032-9306

Mailing address

4550 E Bell Rd
Suite 170
Phoenix, AZ 85032-9306
Phone (480) 443-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20091014000125 AZ Practitioner - Nurse Practitioner 2567508013 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047042AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Healthcare Mobile Solutions, LLC Family CurrentSince Mar 1, 2019 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Apr 11, 2022 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Apr 11, 2022 Accepting new patients
Adobe Care and Wellness LLC PastSince Jun 21, 2021 Accepting new patients
County of Yavapai Past Accepting new patients

Locations

1840 E Baseline Rd
Ste A1
Tempe, AZ 85283
Phone (480) 718-5400

7091 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 402-6092

Interoperability endpoints

  • Direct secure messaging: sheryl.peteuil.p4@direct.caremorewest.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1306877170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD",
            "address_2": "SUITE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329306",
            "telephone_number": "480-443-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD",
            "address_2": "SUITE 172",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329306",
            "telephone_number": "480-443-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETEUIL",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "047042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.