RONDA L CHERRY (PA-C) – Physician Assistant, NPI 1043280100

RONDA L CHERRY (PA-C) is a healthcare provider. based in Broken arrow, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1278 (OK). The NPI Number for RONDA L CHERRY (PA-C) is 1043280100

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
RONDA L CHERRY (PA-C)
NPI
1043280100
Phone
(918) 449-3750
Address
2950 S ELM PL STE 160
Enumeration Date
23 January 2006
Last Update Date
21 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184560641
Graduation Year
2003 (23 years ago)
PAC ID
4587698667
Group Practice PAC ID
1456255025
Professional Enrollment ID
I20051116000821
Address ID
OK744648849TA205XXCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for RONDA L CHERRY (PA-C)

  • 2950 S ELM PL STE 160

    BROKEN ARROW, OK 740127816

    Phone: (918) 449-3750

    Fax: (918) 449-3755

    Type: Location

  • South Yale Avenue, Braden Park, Tulsa, Tulsa County, Oklahoma, 74137, United States

    TULSA, OK 741363361

    Phone: (918) 488-6045

    Fax: (918) 488-6098

    Type: Mailing

  • 1201 E Ross Byp

    Tahlequah, OK 744644188

    Phone: (918) 453-1234

    Type: Location

  • 300 N DENVER AVE

    TULSA, OK 741031420

    Phone: (918) 596-8879

    Fax: (918) 596-8961

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Boston Scientific Corporation ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051116000821IPhysician AssistantOKTBD
I20101230000914IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456255025View full group profile
NameSpecialtyState
Internal Medicine, Critical Care (Intensivists), NephrologyOK
Hematology/Oncology, Internal MedicineTX
Nephrology, Internal MedicineOKLAHOMA
Cardiovascular Disease (Cardiology), Internal MedicineOK
R H E U M A T O L O G YNY
Nurse PractitionerOK
Emergency MedicineOK
N E U R O S U R G E R YKS
Nurse PractitionerOK
Internal MedicineOK

Reviews

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Frequently asked questions

What number should I use to identify RONDA L CHERRY (PA-C) for billing?
Administrative and clinical systems typically use NPI 1043280100 for RONDA L CHERRY (PA-C).
Quick check: is RONDA L CHERRY (PA-C) active?
Public NPPES data shows RONDA L CHERRY (PA-C) with an active NPI status right now.
What services align with RONDA L CHERRY (PA-C)'s listing?
RONDA L CHERRY (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to RONDA L CHERRY (PA-C)?
RONDA L CHERRY (PA-C) shows a connection to Broken Arrow, Oklahoma in registry-derived data.
Who maintains RONDA L CHERRY (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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