NPIMap

Individual provider Active NPI

Sheri Louise Chacon, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Avondale, AZ
National Provider Identifier
1497925424
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5623 Issued in AZ
Practice address
11435 W Buckeye Rd Ste A106
Avondale, AZ 85323-6812
Phone
(480) 677-8282
Fax
(480) 535-0962
NPI assigned
Mar 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5623 AZ
Physician Assistant 363A00000X 5623 AZ Primary

Addresses

Primary practice location

11435 W Buckeye Rd Ste A106
Avondale, AZ 85323-6812

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Other identifiers 1

IdentifierTypeStateIssuer
889844MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514001967 AZ Practitioner - Physician Assistant 5395894026 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians
Estrella Pkwy Medical Center LLCGroup PAC ID 6002067410, 6 clinicians

Practice addresses (Care Compare)

11435 W Buckeye Rd
Suite A106
Avondale, AZ 85323-6812
Phone (480) 677-8282

17063 W Greenway Rd
Suite 102
Surprise, AZ 85388-9605
Phone (480) 677-8282

2445 E Baseline Rd
Suite 133
Phoenix, AZ 85042-7090
Phone (480) 677-8282

428 S Gilbert Rd
Suite 101
Gilbert, AZ 85296-2261
Phone (480) 677-8282

530 N Estrella Pkwy
Suite C1
Goodyear, AZ 85338-4138
Phone (623) 932-9211

6525 W Happy Valley Rd
Suite 105
Glendale, AZ 85310-2607
Phone (480) 677-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5623AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Estrella Pkwy Medical Center, LLC. CurrentSince Mar 1, 2026 Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Center for Orthopedic Research and Education, LLC Physician Assistant Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Livn, P.C. Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Whispering Palms Medical Inc Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Pkwy Medical Center LLC Past Accepting new patients

Locations

530 N Estrella Pkwy
Ste C1
Goodyear, AZ 85338
Phone (623) 882-3598

Interoperability endpoints

  • Direct secure messaging: sherichacon@direct.meditouchehr.com
  • Direct secure messaging: schacon26530@mydrnow.gardenplot.direct-ci.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1497925424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11435 W BUCKEYE RD STE A106",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853236812",
            "telephone_number": "480-677-8282",
            "fax_number": "480-535-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "SHERI",
        "middle_name": "LOUISE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "5623",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889844",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.