Cheryll N. Simmons, DNP, FNP-BC, MPH

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R41324 Issued in ND

Practice address

9629 Bia Road 21
Belcourt, ND 58316-3841

Phone

(701) 561-8201

NPI assigned

Mar 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, ND2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wellsprings Natural Healthcare

  • Family Nurse Practitioner
  • Belcourt, ND
  • NPI 1033927496
  Medicare reassignment NPD Authorized official
• Quentin N Burdick Comprehensive Health Care Facility

  • Pharmacist
  • Belcourt, ND
  • NPI 1245754548
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1699099812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 ISLAND AVE",
            "city": "SHELDON",
            "state": "ND",
            "postal_code": "580684004",
            "telephone_number": "701-561-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9629 BIA ROAD 21",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583163841",
            "telephone_number": "701-561-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CHERYLL",
        "middle_name": "N.",
        "credential": "DNP, FNP-BC, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R41324",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3368492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Marie Selburg
• Jacqueline M Selburg
• Serenity Path Hospice Care, PLLC
• Mos Sher, MD
• Curtis Ivan Silvis, PHARMD
• Roxanne Marie Slater
• Yvonne Marie Slater
• Vay Slinkey, RN
• Lynn St. Claire
• Susan L Stabo, FNP

• Family Nurse Practitioner in Belcourt, ND
• Providers in Belcourt, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.

Verify at the official NPI Registry.