Individual provider Active NPI

Cheryl Ann Dahlstroem, RN, BSN, NP-C, A-GNP

  • Gerontology Nurse Practitioner
  • Portsmouth, OH
National Provider Identifier
1619480027
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.023978 Issued in OH
Practice address
1711 27TH St Ste 306
Portsmouth, OH 45662-2669
Phone
(740) 356-8080
Fax
(740) 356-6860
NPI assigned
Nov 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 93998 WV
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.023978 OH Primary

Addresses

Primary practice location

1711 27TH St Ste 306
Portsmouth, OH 45662-2669

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681

Other identifiers 1

IdentifierTypeStateIssuer
0251073MedicaidOH

Other names 1

  • Cheryl Ann Nance Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cheryl.dahlstroem@somc.medicity.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190320003344 OH Practitioner - Nurse Practitioner 9436418928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1121 Kinneys LN
Portsmouth, OH 45662-2806
Phone (740) 356-7490

1248 Kinneys LN
Portsmouth, OH 45662-2927
Phone (740) 356-7290

1711 27TH St
Portsmouth, OH 45662-2669

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023978OHMDGerontology Nurse Practitioner
93998WVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. CurrentSince Mar 28, 2019 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Mar 28, 2019 Accepting new patients

Locations

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1711 27th St
Ste 306
Portsmouth, OH 45662
Phone (740) 353-8661

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1711 27th St
Ste 402
Portsmouth, OH 45662
Phone (740) 356-3562

1121 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 356-7490

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

Interoperability endpoints

  • Direct secure messaging: dahlstrc@somc.gwaydirect.com

Organizations & group practices 2

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 1

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1619480027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8681",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 27TH ST STE 306",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622669",
            "telephone_number": "740-356-8080",
            "fax_number": "740-356-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLSTROEM",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "RN, BSN, NP-C, A-GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WV",
            "license": "93998",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.023978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251073",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheryl.dahlstroem@somc.medicity.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1711 27th St Ste 306",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456622669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "NANCE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.