Individual provider Active NPI

Cherisa Anne Meyer-Fletcher, PA-C

  • Medical Physician Assistant
  • Gretna, NE
National Provider Identifier
1972919041
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
074510 Issued in IA
Practice address
21317 McClellan Cir
Gretna, NE 68028-3962
Phone
(319) 431-0244
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 074510 IA Primary

Addresses

Primary practice location

21317 McClellan Cir
Gretna, NE 68028-3962

Mailing address

21317 McClellan Cir
Gretna, NE 68028-3962
Phone (319) 431-0244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20151130000372 NE Practitioner - Physician Assistant 9436378809 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harlan Medical LLCGroup PAC ID 8628206034, 11 clinicians
Hydr8 LLCGroup PAC ID 1456726884, 18 clinicians

Practice addresses (Care Compare)

1307 Harlan Dr
Bellevue, NE 68005-3699
Phone (402) 291-8701

18210 Wright St
Omaha, NE 68130-2883
Phone (531) 999-1813

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1831NEMDSpeech-Language Pathologist
074510IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Urgent Care LP Current Accepting new patients
Charles Drew Health Center Inc PastSince May 25, 2021 Accepting new patients
Urgent Care Group LLC Past Accepting new patients

Locations

1307 Harlan Dr
Bellevue, NE 68005
Phone (402) 291-8701

Organizations & group practices 9

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1972919041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21317 MCCLELLAN CIR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680283962",
            "telephone_number": "319-431-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21317 MCCLELLAN CIR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680283962",
            "telephone_number": "319-431-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER-FLETCHER",
        "first_name": "CHERISA",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "074510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

Verify at the official NPI Registry.