Individual provider Active NPI

Cheryl Ann Walch

  • Gerontology Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1609229665
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704168904 Issued in MI
Practice address
2950 Lafranier Rd
Traverse City, MI 49686-4918
Phone
(231) 947-0506
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704168904 MI Primary

Addresses

Primary practice location

2950 Lafranier Rd
Traverse City, MI 49686-4918

Mailing address

PO Box 30516
Dept #9603
Lansing, MI 48909-8016
Phone (231) 346-6800

Other practice location 1

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-7514

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwalch@direct.mhc.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160926000100 MI Practitioner - Nurse Practitioner 4486941036 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-7514

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Paul Oliver Memorial Hospital Hospital, Frankfort, MI, CCN 231300
  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081
  • Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince Aug 20, 2019 Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC CurrentSince Jul 2, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Nurse Practitioner CurrentSince May 29, 2019 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince May 29, 2019 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Medical Center CurrentSince Aug 20, 2019 Accepting new patients
Hospitalist Medicine Physicians of Michigan, PLLC CurrentSince Jul 2, 2019 Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

14676 W Upright St
Charlevoix, MI 49720
Phone (231) 487-5447

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

2950 Lafranier Rd
Traverse City, MI 49686
Phone (231) 947-0506

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

1000 Pavilions Cir
Traverse City, MI 49684
Phone (231) 932-3000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

3922 Cedar Run Rd
Traverse City, MI 49684
Phone (231) 392-0430

Interoperability endpoints

  • Direct secure messaging: cwalch@direct.mhc.net

Organizations & group practices 8

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 5

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1609229665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30516",
            "address_2": "DEPT #9603",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489098016",
            "telephone_number": "231-346-6800",
            "fax_number": "231-346-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 LAFRANIER RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864918",
            "telephone_number": "231-947-0506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-7514",
            "fax_number": "231-392-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALCH",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704168904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwalch@direct.mhc.net",
            "affiliation": "N",
            "address_1": "3922 Cedar Run Rd",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496849687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.