Individual provider Active NPI

Sheri L Wages Cornell, PA-C

  • Physician Assistant
  • Prescott, AZ
National Provider Identifier
1760457345
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9176 Issued in AZ
Practice address
5430 Landmark LN
Prescott, AZ 86301-0019
Phone
(928) 775-9430
Fax
(928) 775-9431
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9176 AZ Primary

Addresses

Primary practice location

5430 Landmark LN
Prescott, AZ 86301-0019

Mailing address

PO Box 910221
Dallas, TX 75391-0221
Phone (928) 775-9430

Other names 1

  • Sheri Lynne Wages Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ2 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

Enrollment IDStateProvider typePAC IDDetails
I20060613000343 WA Practitioner - Physician Assistant 6709898687 Reassigns benefits to 1 organization
I20250328001591 AZ Practitioner - Physician Assistant 6709898687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians
Arizona Oncology Associates PCGroup PAC ID 9638067911, 42 clinicians

Practice addresses (Care Compare)

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000

2625 N Craycroft Rd
Suite 100
Tucson, AZ 85712-2254
Phone (520) 324-4214

3188 N Windsong Dr a
Prescott Valley, AZ 86314-1220
Phone (928) 775-9430

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9176AZMDPhysician Assistant
PAWAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Arizona LLC Physician Assistant CurrentSince Mar 9, 2026 Accepting new patients
Arizona Oncology Associates PC CurrentSince Mar 7, 2025 Accepting new patients
Northwest Medical Specialties PLLC CurrentSince Mar 1, 2007 Accepting new patients
Digestive Health Specialists PS Past Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

1100 Gail Gardner Way
Prescott, AZ 86305
Phone (520) 776-1040

5430 Landmark Ln
Prescott, AZ 86301
Phone (928) 775-9430

3188 N Windsong Dr
Ste A
Prescott Valley, AZ 86314
Phone (928) 775-9430

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

34509 9th Ave S
Ste 107
Federal Way, WA 98003
Phone (253) 272-7777

11511 Canterwood Blvd
Ste 45
Gig Harbor, WA 98332
Phone (253) 426-4772

3920 Capital Mall Dr SW
Ste 402
Olympia, WA 98502
Phone (360) 704-4786

2920 S Meridian
Ste 100
Puyallup, WA 98373
Phone (253) 604-4599

2940 S Meridian
Ste 200
Puyallup, WA 98373

400 15th Ave SE
Ste D
Puyallup, WA 98372
Phone (253) 697-4823

1624 S I St
Ste 102
Tacoma, WA 98405
Phone (253) 383-3366

1624 S I St
Ste 305
Tacoma, WA 98405

Interoperability endpoints

  • Direct secure messaging: sheri.cornell@aoa.ikm.direct-ci.com

Organizations & group practices 4

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 3

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1760457345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910221",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753910221",
            "telephone_number": "928-775-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 LANDMARK LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863010019",
            "telephone_number": "928-775-9430",
            "fax_number": "928-775-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGES CORNELL",
        "first_name": "SHERI",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "WAGES",
            "middle_name": "LYNNE",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.