Individual provider Active NPI

Cherie L. Revere, CRNP

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1356396659
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-052358 Issued in AL
Practice address
2451 Fillingim St
BLDG. C
Mobile, AL 36617-2238
Phone
(251) 445-8242
Fax
(251) 445-8250
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-052358 AL Primary

Addresses

Primary practice location

2451 Fillingim St
BLDG. C
Mobile, AL 36617-2238

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 445-8242

Other identifiers 5

IdentifierTypeStateIssuer
51518496OtherALBLUE CROSS
51507901OtherALBLUE CROSS
891006050MedicaidAL
08332509MedicaidMS
890009050MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100322000145 AL Practitioner - Nurse Practitioner 6305971953 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

6300 USA Health Blvd
Mobile, AL 36608-0020
Phone (251) 873-6280

6304 USA Health Blvd
Mobile, AL 36608-0020
Phone (251) 660-6400

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama CurrentSince Jul 1, 2016 Accepting new patients
University of South Alabama CurrentSince Jul 1, 2016 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
Mobile Heart USA, LLC CurrentSince Jan 1, 2021 Accepting new patients
USA Health Physician Billing Services LLC Current Accepting new patients
University of South Alabama Nurse Practitioner Current Accepting new patients
USA Health - Mci Business Services LLC Current Accepting new patients
USA Health Community Providers LLC CurrentSince Jul 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
USA Health Physician Billing Services LLC Past Accepting new patients
University of South Alabama Mitchell Cancer Institute Past Accepting new patients

Locations

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

2451 University Hospital Dr
Mobile, AL 36617
Phone (251) 471-7000

2451 University Hospital Dr
Fl 1
Mobile, AL 36617
Phone (251) 471-7790

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

3290 Dauphin St
Ste 301
Mobile, AL 36606
Phone (251) 660-5930

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

2451 Fillingim St
Bldg C
Mobile, AL 36617
Phone (251) 445-8242

6300 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880

Interoperability endpoints

  • Direct secure messaging: cherie.revere.1@16253.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1356396659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-445-8242",
            "fax_number": "251-445-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "address_2": "BLDG. C",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-445-8242",
            "fax_number": "251-445-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVERE",
        "first_name": "CHERIE",
        "middle_name": "L.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-052358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51518496",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51507901",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891006050",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08332509",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890009050",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.