Individual provider Active NPI

Cheryl Fitts

  • Medical Physician Assistant
  • Lebanon, NH
National Provider Identifier
1568916948
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1175 Issued in NH
Practice address
252 Mechanic St
Lebanon, NH 03766-2613
Phone
(603) 448-1941
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1175 NH Primary
Medical Physician Assistant 363AM0700X 055.0031308 VT

Addresses

Primary practice location

252 Mechanic St
Lebanon, NH 03766-2613

Mailing address

252 Mechanic St
Lebanon, NH 03766-2613
Phone (603) 448-1941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260223004026 NJ Practitioner - Physician Assistant 3375807555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6 Forest Ave
Suite 110
Paramus, NJ 07652-5241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1175NHMDClinical Psychologist
055.0031308VTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Recovery and Psychiatric Group Inc CurrentSince Jan 13, 2026 Accepting new patients

Locations

6 Forest Ave
Ste 110
Paramus, NJ 07652
Phone (201) 880-7530

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1568916948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 MECHANIC ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662613",
            "telephone_number": "603-448-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MECHANIC ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662613",
            "telephone_number": "603-448-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITTS",
        "first_name": "CHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "1175",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VT",
            "license": "055.0031308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.