MR. SEAN GARLAND CHERRY (PA-C) – Physician Assistant, NPI 1104074533

MR. SEAN GARLAND CHERRY (PA-C) is a healthcare provider. based in Elma, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA19877 (CA). The NPI Number for MR. SEAN GARLAND CHERRY (PA-C) is 1104074533

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. SEAN GARLAND CHERRY (PA-C)
NPI
1104074533
Phone
(360) 346-2222
Address
600 E MAIN ST
Enumeration Date
27 August 2008
Last Update Date
6 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603462222
Graduation Year
2008 (18 years ago)
PAC ID
4789876137
Group Practice PAC ID
9032017256
Professional Enrollment ID
I20201221002616
Address ID
WA985419353EL610XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:17State licenses:3Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for MR. SEAN GARLAND CHERRY (PA-C)

  • 600 E MAIN ST

    ELMA, WA 985419560

    Phone: (360) 346-2222

    Fax: (360) 346-2191

    Type: Location

  • Family HealthCare Network, 1107, West Poplar Avenue, Porterville, Tulare County, California, 93257, United States

    PORTERVILLE, CA 932575839

    Phone: (559) 781-7242

    Fax: (559) 793-3542

    Type: Location

  • 305, East Center Avenue, Visalia, Tulare County, California, 93291, United States

    VISALIA, CA 932916331

    Phone: (559) 737-4700

    Fax: (559) 737-4782

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-12-21

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
I20101004001493IPhysician AssistantCATBD
I20201221002616IPhysician AssistantWATBD

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 98541)

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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: 9032017256View full group profile
NameSpecialtyState
Mental Health CounselorWA
Physical Medicine And RehabilitationWA
Internal MedicineWA
Family PracticeTX
Nurse PractitionerWA
Family Practice, Obstetrics/GynecologyWA
Nurse PractitionerWA
Hospitalist, Internal MedicineWA
Nurse PractitionerWA
Gastroenterology, Internal MedicineMN

Reviews

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Frequently asked questions

How do I look up MR. SEAN GARLAND CHERRY (PA-C) by NPI?
Use NPI 1104074533 when you need to reference MR. SEAN GARLAND CHERRY (PA-C) in forms, claims, or directories.
Is MR. SEAN GARLAND CHERRY (PA-C)'s NPI currently valid?
The extract we use shows MR. SEAN GARLAND CHERRY (PA-C) as active.
What kind of provider is MR. SEAN GARLAND CHERRY (PA-C)?
The page reflects Physician Assistant for MR. SEAN GARLAND CHERRY (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place MR. SEAN GARLAND CHERRY (PA-C)?
The snapshot lists Elma, Washington for MR. SEAN GARLAND CHERRY (PA-C); download NPPES for the complete set.
Is MR. SEAN GARLAND CHERRY (PA-C) a real provider?
This page reflects official NPPES data for NPI 1104074533. Always confirm identity and privileges with the practice and licensing boards.

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