CHERYL DUPUIS N.P.
NPI 1104010412
Nurse Practitioner in Jefferson City, MO

Q: What is Cheryl Dupuis's NPI number?

The NPI number for Cheryl Dupuis is 1104010412. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Q: What is Cheryl Dupuis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Cheryl Dupuis was last updated on December 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 29, 2007

1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109(573) 635-5264 Get Directions Write a Review

NPPES record last updated: December 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cheryl Dupuis N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERYL DUPUIS N.P. (NPI 1104010412) is an individual nurse practitioner in Jefferson City, Missouri, licensed in Illinois (209-001162) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1104010412

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCHERYL DUPUISCredential: N.P.

Location Address1241 W STADIUM BLVDJefferson City, MO 65109-6023

Mailing AddressPo Box 104240Jefferson City, MO 65110 · (573) 635-5264

Phone(573) 635-5264

Sole ProprietorNo

Enumeration DateAugust 29, 2007

Last NPPES UpdateDecember 22, 2008

✔ NPI 1104010412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209-001162

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1241 W STADIUM BLVD, Jefferson City, MO 65109

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Other Identifiers 5

Medicaid1104010412MO

Other000010688MO · Medicare Group Ptan

OtherP00635927MO · Medicare Rairoad

OtherCP9089MO · Railroad Group

Medicare PIN106880003MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS W. SCHNEIDER M.D.

Internal Medicine (Pulmonary Disease)