CHERYL ANN COUNTRYMAN
NPI 1295593697
Nurse Practitioner - Acute Care in Tonopah, AZ

Active since March 11, 2024PECOS EnrolledAccepts Medicare Assignment
5122 N 382ND AVE, TONOPAH, AZ 85354(160) 237-7811 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cheryl Ann Countryman NPPES

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

CHERYL ANN COUNTRYMAN (NPI 1295593697) is an individual acute care provider in Tonopah, Arizona, licensed in Arizona (245602) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295593697
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCHERYL ANN COUNTRYMAN
Location Address5122 N 382ND AVETonopah, AZ 85354-0140
Mailing Address5122 N 382nd AveTonopah, AZ 85354-0140 · (160) 237-7811
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 10, 2024
NPI 1295593697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AZ · 245602
5122 N 382ND AVE, Tonopah, AZ 85354

Other Names 1

Former Name (1)Cheryl Ann Varin Agacnp-bc

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 Ann Countryman 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 ID2668997164
PECOS Enrollment IDI20250417000182
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Meadowview Regional Medical Center

Acute Care Hospitals · Maysville, KY
5/5 CMS rating
OwnershipProprietary
CMS Certification Number180019
Location989 Medical Park DriveMaysville, KY 41056 · Mason County
Emergency services Birthing friendly

Adams County Regional Medical Center

Critical Access Hospitals · Seaman, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number361326
Location230 Medical Center DriveSeaman, OH 45679 · Adams County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85354 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Countryman's NPI number?

The NPI number for Cheryl Countryman is 1295593697. It was assigned to this individual provider in the NPPES registry on March 11, 2024. The provider is also known as Cheryl Ann Varin Agacnp-Bc.

Where is Cheryl Countryman located?

Cheryl Countryman practices at 5122 N 382nd Ave, Tonopah, AZ 85354. The listed phone number is (160) 237-7811.

What is Cheryl Countryman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Cheryl Countryman enrolled in Medicare?

Yes. Cheryl Countryman 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.

Is Cheryl Countryman affiliated with any hospitals?

According to CMS data, Cheryl Countryman is affiliated with Saint Joseph Hospital, Meadowview Regional Medical Center and Adams County Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Cheryl Countryman was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.