CHERYL ANN STAHL FNP-BC
NPI 1104051036
Nurse Practitioner - Family in South Bend, IN
About Cheryl Ann Stahl Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHERYL ANN STAHL FNP-BC (NPI 1104051036) is an individual family provider in South Bend, Indiana, licensed in Indiana (28141968A) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cheryl Ann Stahl Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46635 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cheryl Stahl's NPI number?
The NPI number for Cheryl Stahl is 1104051036. It was assigned to this individual provider in the NPPES registry on May 21, 2009.
Where is Cheryl Stahl located?
Cheryl Stahl practices at 6301 University Commons Suite 100, South Bend, IN 46635. The listed phone number is (574) 247-4667.
What is Cheryl Stahl's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Cheryl Stahl enrolled in Medicare?
Yes. Cheryl Stahl is registered in the Medicare PECOS enrollment system.
What insurance does Cheryl Stahl accept?
Health plans from CareSource list Cheryl Stahl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cheryl Stahl was last updated on September 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Cheryl Ann Stahl, FNP-BC · NPI 1104051036
Family physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since May 21, 2009.
## Identity
- **NPI:** 1104051036 (Entity type: Individual)
- **Enumerated:** May 21, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 28141968A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 6301 UNIVERSITY COMMONS, SUITE 100, South Bend, IN 46635-1571
- **Phone:** (574) 247-4667 · **Fax:** (574) 271-4458
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 29, 2014
- **Other identifiers:** Other P01089168 (IN); Other 264180009 (IN); Medicaid 201016320 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1104051036) · Data from the CMS NPPES public registry.