Cheresha Lynn Samuels, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP015067 Issued in PA

Practice address

145 N 6TH St
2ND Floor
Reading, PA 19601-3096

Phone

(610) 378-2440

Fax

(610) 378-2441

NPI assigned

Oct 6, 2015

Last updated

May 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cheresha Lynn McKenzie Former name

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of North Carolina at Chapel HillGroup PAC ID 0648181156, shared by 6 NPIs, 2,028 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
• Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prospect Health Access Network, Inc.

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1568819084
  Medicare reassignment NPD
• Inspira Health Network Medical Group, P.C.

  dba Inspira Medical Group

  • Multi-Specialty Clinic/Center
  • Glassboro, NJ
  • NPI 1922177856
  Medicare reassignment NPD
• Prospect Health Access Network, Inc.

  • Diagnostic Radiology Physician
  • Chester, PA
  • NPI 1154776797
  NPD
• Prospect Health Access Network, Inc.

  • Urology Physician
  • Drexel Hill, PA
  • NPI 1982152294
  NPD
• St. Joseph Medical Group

  • Family Medicine Physician
  • Reading, PA
  • NPI 1184754657
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inspira Medical Centers, Inc.

  dba Inspira Medical Center Vineland

  • General Acute Care Hospital
  • Vineland, NJ
  • NPI 1164487542
  Care Compare affiliation
• Inspira Medical Centers, Inc.

  dba Inspira Medical Center Elmer

  • General Acute Care Hospital
  • Elmer, NJ
  • NPI 1255396024
  Care Compare affiliation
• Inspira Medical Centers, Inc.

  dba Inspira Medical Center Mullica Hill

  • General Acute Care Hospital
  • Mullica Hill, NJ
  • NPI 1366097032
  Care Compare affiliation
• South Jersey Hospital, Inc.

  dba SJH Sports Rehab Care - Tomlin Station

  • Physical Therapy Clinic/Center
  • Mullica Hill, NJ
  • NPI 1609158732

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1801266697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 NORTH 6TH STREET",
            "address_2": "2ND FLOOR",
            "city": "READING",
            "state": "PA",
            "postal_code": "19601",
            "telephone_number": "610-378-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N 6TH ST",
            "address_2": "2ND FLOOR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013096",
            "telephone_number": "610-378-2440",
            "fax_number": "610-378-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "CHERESHA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERESHA",
            "last_name": "MCKENZIE",
            "middle_name": "LYNN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fadeke H Salako, B PHARM
• Ilse Saldivar Ruiz, MD
• Tyler Salisbury, DO
• Barbara Salvitti, CRNA
• Osvaldo Joel Samboy Perez
• San Juan de Dios LLC
• San Juan Pharmacy LLC (san juan pharmacia)
• Sanative Healthcare PLLC
• Teresa Ellen Sanders, M.ED
• Navdeep Kaur Sandhu, D.M.D.

• Family Nurse Practitioner in Reading, PA
• Providers in Reading, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.

Verify at the official NPI Registry.