Active NPI
Cheryl Marie Jusela, NP RN
- Nurse Practitioner
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704236063
- Practice address
- 3601 W 13 Mile Rd
William Beaumont Hospital
Royal Oak, MI 48073-6712 - Phone
- (248) 898-4021
- Fax
- (248) 898-1473
- NPI assigned
- Sep 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704236063 | MI | Primary |
Addresses
Primary practice location
3601 W 13 Mile Rd
William Beaumont Hospital
Royal Oak, MI 48073-6712
Mailing address
130 Town Center Dr Ste 203
Beaumont Medical Staff Affairs
Troy, MI 48084-1744
Phone (248) 585-8233
Other names 1
- Ms. Cheryl Marie Harrison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704236063 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Vpa PC | Current | Accepting new patients | |
| HCR Manorcare Medical Services of Florida LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Portage, MI
- NPI 1669091864
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
MI, Nurse Practitioner
-
- Cardiovascular Disease Physician
- Sterling Heights, MI
- NPI 1053368233
-
- Clinical Social Worker
- Troy, MI
- NPI 1639637754
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
-
- Nurse Practitioner
- Toledo, OH
- NPI 1386750420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1598950263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 TOWN CENTER DR STE 203",
"address_2": "BEAUMONT MEDICAL STAFF AFFAIRS",
"city": "TROY",
"state": "MI",
"postal_code": "480841744",
"telephone_number": "248-585-8233",
"fax_number": "248-585-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"address_2": "WILLIAM BEAUMONT HOSPITAL",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736712",
"telephone_number": "248-898-4021",
"fax_number": "248-898-1473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSELA",
"first_name": "CHERYL",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704236063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "HARRISON",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.