NPIMap

Individual provider Active NPI

Cheryl Anntoinette Wilkerson, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1801157490
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10031360 Issued in OR
Practice address
1302 Millville Ave
Hamilton, OH 45013-3961
Phone
(513) 849-1869
NPI assigned
May 31, 2012
Last updated
Oct 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP.AP.61670665-NP WA
Family Nurse Practitioner 363LF0000X APRN.CNP.025743 OH
Family Nurse Practitioner 363LF0000X 10031360 OR Primary

Addresses

Primary practice location

1302 Millville Ave
Hamilton, OH 45013-3961

Mailing address

1302 Millville Ave
Hamilton, OH 45013-3961
Phone (513) 894-5469

Other practice location 1

524 Main St
Hamilton, OH 45013-3222
Phone (513) 894-5469

Other practice location 2

5125 Skyline Rd S
Salem, OR 97306-9413
Phone (800) 813-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200116001898 OH Practitioner - Nurse Practitioner 8628403847 Reassigns benefits to 2 organizations
I20241025000554 OR Practitioner - Nurse Practitioner 8628403847 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Lutheran CharitiesGroup PAC ID 5294643359, shared by 8 NPIs, 110 clinicians
Companions in Care LLCGroup PAC ID 3779066923, 4 clinicians

Practice addresses (Care Compare)

1639 SE Ensign LN
Warrenton, OR 97146-7308
Phone (503) 338-4500

843 E Main St
Suite 303
Medford, OR 97504-7137
Phone (541) 937-9273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
64.68
Promoting interoperability
100
Improvement activities
40
Cost
47.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025743OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Lutheran Charities CurrentSince Jun 30, 2025 Accepting new patients
Columbia Lutheran Charities Current Accepting new patients
Dynamic Telehealth LLC CurrentSince Jul 3, 2025 Accepting new patients
Good Shepherd Health Care System CurrentSince Sep 18, 2024 Accepting new patients
Columbia Lutheran Charities CurrentSince Jun 30, 2025 Accepting new patients
CG Medical Associates Inc CurrentSince Jul 1, 2022 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Good Shepherd Health Care System Past Accepting new patients
Medical Linx, LLC Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

9909 Springfield Pike
Cincinnati, OH 45215
Phone (513) 596-9822

5390 Dixie Hwy
Fairfield, OH 45014
Phone (513) 218-2848

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

2265 Exchange St
Astoria, OR 97103
Phone (503) 338-4050

2265 Exchange St
Fl First
Astoria, OR 97103

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

1111 N Roosevelt Dr
Ste 210
Seaside, OR 97138
Phone (503) 738-3002

1639 SE Ensign Ln
Ste B103
Warrenton, OR 97146
Phone (503) 338-4500

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793318400000",
    "number": "1801157490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MILLVILLE AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133961",
            "telephone_number": "513-894-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MILLVILLE AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133961",
            "telephone_number": "513-849-1869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 Main St",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450133222",
            "country_code": "US",
            "telephone_number": "513-894-5469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5125 Skyline Rd S",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973069413",
            "country_code": "US",
            "telephone_number": "800-813-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "CHERYL",
        "middle_name": "ANNTOINETTE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.61670665-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025743",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10031360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.