CHERYL P ATHEARN (PA) – Physician Assistant, NPI 1366401705

CHERYL P ATHEARN (PA) is a healthcare provider. based in Saint paul, Minnesota. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 10775 (MN). The NPI Number for CHERYL P ATHEARN (PA) is 1366401705

Main info

Female
Name
CHERYL P ATHEARN (PA)
NPI
1366401705
Phone
(651) 254-1804
Address
640 JACKSON ST
Enumeration Date
23 March 2006
Last Update Date
11 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for CHERYL P ATHEARN (PA)

  • 14 St, 640, Jackson Street, Downtown, Saint Paul, Ramsey County, Minnesota, 55101, United States

    SAINT PAUL, MN 551012502

    Phone: (651) 254-1804

    Type: Mailing

  • Inova Alexandria Hospital, 4320, Seminary Road, John Adams, Piney Court, Alexandria, Virginia, 22304, United States

    ALEXANDRIA HOSPITAL

    ALEXANDRIA, VA 22304

    Phone: (703) 504-3066

    Fax: (703) 504-3866

    Type: Location

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: 2014-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20140806001460IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making159155$0
99284Emergency department visit with moderate level of medical decision making111108$0
View full utilization report →

Insurance plans in this area (ZIP 55101)

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Reviews

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Frequently asked questions

How is CHERYL P ATHEARN (PA) identified in CMS data?
CMS-hosted NPPES data lists CHERYL P ATHEARN (PA) with NPI 1366401705.
Does the file indicate CHERYL P ATHEARN (PA) is practicing under active NPI?
Directory data currently reports CHERYL P ATHEARN (PA) as active.
What taxonomy line describes CHERYL P ATHEARN (PA)?
For research purposes, treat CHERYL P ATHEARN (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does CHERYL P ATHEARN (PA) list a practice location?
Patients near Saint Paul, Minnesota may find CHERYL P ATHEARN (PA) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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