Active NPI
Cheryl Ann Dahlstroem, RN, BSN, NP-C, A-GNP
- Gerontology Nurse Practitioner
- Portsmouth, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN.CNP.023978
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0251073 | Medicaid | OH |
Other names 1
- Cheryl Ann Nance
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.023978 | OH | MD | Gerontology Nurse Practitioner |
| 93998 | WV | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somc Medical Care Foundation, Inc. | Current | Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Current | 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
- 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.
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
-
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.