Individual provider Active NPI

Cheryl Ann Wirth, RN,FNP-BC

  • Family Nurse Practitioner
  • Magnolia, TX
National Provider Identifier
1346354701
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0276822-22 Issued in TX
Practice address
18230 FM 1488 Rd Ste 200
Magnolia, TX 77354-4530
Phone
(281) 356-2525
Fax
(281) 356-2920
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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 0276822-22 TX Primary

Addresses

Primary practice location

18230 FM 1488 Rd Ste 200
Magnolia, TX 77354-4530

Mailing address

18230 FM 1488 Rd Ste 200
Magnolia, TX 77354-4530
Phone (281) 356-2525

Other identifiers 1

IdentifierTypeStateIssuer
0276822-22OtherTXCFNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100109000430 TX Practitioner - Nurse Practitioner 3375684541 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0276822-22TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael G Casagrande MD PA CurrentSince Jul 2, 2018 Accepting new patients

Locations

13628 Michel Rd
Tomball, TX 77375
Phone (281) 357-1934

Interoperability endpoints

  • Direct secure messaging: cheryl.wirth@hca7.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1346354701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18230 FM 1488 RD STE 200",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544530",
            "telephone_number": "281-356-2525",
            "fax_number": "281-356-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18230 FM 1488 RD STE 200",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544530",
            "telephone_number": "281-356-2525",
            "fax_number": "281-356-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTH",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "0276822-22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CFNP LICENSE",
            "identifier": "0276822-22",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

Verify at the official NPI Registry.