Active NPI
Cheryl P Athearn, PA
- Physician Assistant
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9107831
- Practice address
- 4320 Seminary Rd
Alexandria Hospital
Alexandria, VA 22304 - Phone
- (703) 504-3066
- Fax
- (703) 504-3866
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10775 | MN | |
| Physician Assistant | 363A00000X | PA9107831 | FL | Primary |
Addresses
Primary practice location
4320 Seminary Rd
Alexandria Hospital
Alexandria, VA 22304
Mailing address
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-1804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00339583 | Other | MD | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9107831 | FL | MD | Physician Assistant |
| 10775 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| Pensacola Emergency Physicians, LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| Bestpractices, Inc. | Past | Accepting new patients | |
| Vale of Paradise Emergency Physicians, LLC | Past | Accepting new patients | |
| Emergency Medicine Associates | Past | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Past | Accepting new patients | |
| Ecc Addiction & Toxicology Services LLC | Past | Accepting new patients | |
| Bestpractices, Inc. | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
2190 Highway 85 N
Niceville, FL 32578
Phone (850) 678-4131
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
Organizations & group practices 15
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.
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1801841473
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1215948096
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1770345266
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
-
- Emergency Medicine Physician
- Destin, FL
- NPI 1659720654
Physician Assistant
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1639177942
-
- Emergency Medicine Physician
- Woodbridge, VA
- NPI 1730180944
-
- Emergency Medicine Physician
- Reston, VA
- NPI 1861892879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1366401705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012502",
"telephone_number": "651-254-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 SEMINARY RD",
"address_2": "ALEXANDRIA HOSPITAL",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22304",
"telephone_number": "703-504-3066",
"fax_number": "703-504-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATHEARN",
"first_name": "CHERYL",
"middle_name": "P",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "10775",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9107831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00339583",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
- Association of Alexandria Radiologists, P.C.
- Asthma and Pulmonary Specialists of No VA LTD
- Abigail Taah Asumadu-Mensah, FNP, PMHNP
- At Intouch Home Care Agency LLC
- Mirahertz Enow Atem
- Athena Wellness and Physical Therapy, LLC
- Donnell Andrew Atherley, MT
- Ghassan N Atiyeh, MD
- Lyna Atiyeh, MD
- Atlantic Baromedical Systems,Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.