CHERYL MCGUIRE
NPI 1124458575
Nurse Practitioner - Psychiatric/Mental Health in Wrentham, MA

Active since November 22, 2013PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
131 EMERALD ST, WRENTHAM DEVELOPMENTAL CENTER, WRENTHAM, MA 02093(508) 384-1624 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cheryl Mcguire NPPES

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

CHERYL MCGUIRE (NPI 1124458575) is an individual psychiatric/mental health provider in Wrentham, Massachusetts, licensed in Massachusetts (RN276263) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1124458575
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHERYL MCGUIRE
Location Address131 EMERALD ST, WRENTHAM DEVELOPMENTAL CENTERWrentham, MA 02093-1902
Mailing Address131 Emerald St, Wrentham Developmental CenterWrentham, MA 02093-1902 · (508) 384-1624
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 22, 2013
Last NPPES UpdateApril 17, 2019
NPI 1124458575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MA · RN276263
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN276263 (MA)
131 EMERALD ST, Wrentham, MA 02093

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 and accepts Medicare assignment

Cheryl Mcguire is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719117332
PECOS Enrollment IDI20140227001182
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
768 services166 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
173 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Nurse Practitioner (Family)
131 EMERALD ST
WRENTHAM, MA 02093
Registered Nurse
131 EMERALD ST
WRENTHAM, MA 02093
Nurse Practitioner (Primary Care)
131 EMERALD ST, WRENTHAM DEVELOPMENTAL CENTER
WRENTHAM, MA 02093
Voluntary or Charitable
131 EMERALD ST
WRENTHAM, MA 02093
Psychologist (Clinical)
131 EMERALD ST
WRENTHAM, MA 02093
Nurse Practitioner (Primary Care)
131 EMERALD ST
WRENTHAM, MA 02093
Nurse Practitioner (Primary Care)
131 EMERALD ST, WRENTHAM DEVELOPMENTAL CENTER
WRENTHAM, MA 02093
Pharmacist
131 EMERALD ST
WRENTHAM, MA 02093

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 Mcguire's NPI number?

The NPI number for Cheryl Mcguire is 1124458575. It was assigned to this individual provider in the NPPES registry on November 22, 2013.

Where is Cheryl Mcguire located?

Cheryl Mcguire practices at 131 Emerald St Wrentham Developmental Center, Wrentham, MA 02093. The listed phone number is (508) 384-1624.

What is Cheryl Mcguire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Cheryl Mcguire enrolled in Medicare?

Yes. Cheryl Mcguire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cheryl Mcguire accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Cheryl Mcguire 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 Mcguire was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.