Individual provider Active NPI

Cheryl L. Wherry, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1669256178
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1133362 Issued in TX
Practice address
350 Matlock Rd Ste 201
Mansfield, TX 76063-6889
Phone
(817) 539-9091
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1133362 TX
Acute Care Nurse Practitioner 363LA2100X 1133362 TX Primary

Addresses

Primary practice location

350 Matlock Rd Ste 201
Mansfield, TX 76063-6889

Mailing address

5841 Limestone LN
Midlothian, TX 76065-2074
Phone (817) 729-8401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230914002722 TX Practitioner - Nurse Practitioner 2466816020 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Id Partners PA Acute Care CurrentSince Sep 1, 2023 Accepting new patients

Locations

515 W Mayfield Rd
Ste 4040
Arlington, TX 76014

350 Matlock Rd
Ste 201
Mansfield, TX 76063
Phone (817) 539-9091

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": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1669256178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 LIMESTONE LN",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760652074",
            "telephone_number": "817-729-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MATLOCK RD STE 201",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636889",
            "telephone_number": "817-539-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHERRY",
        "first_name": "CHERYL",
        "middle_name": "L.",
        "credential": "APRN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1133362",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1133362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.