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SHERYL NICCUM NP
NPI 1457332199
Nurse Practitioner - Family in Glendale, AZ

Active since November 09, 2005PECOS Enrolled
18275 N 59TH AVENUE, BLDG K, SUITE 162, GLENDALE, AZ 85308(602) 547-8184(602) 547-8339 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sheryl Niccum Np NPPES

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

SHERYL NICCUM NP (NPI 1457332199) is an individual family provider in Glendale, Arizona, licensed in Arizona (AP2438) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457332199
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHERYL NICCUMCredential: NP
Location Address18275 N 59TH AVENUE, BLDG K, SUITE 162Glendale, AZ 85308
Mailing Address18275 N 59th Avenue, Bldg K, Suite 162Glendale, AZ 85308 · (602) 547-8184 · Fax (602) 547-8339
Phone(602) 547-8184
Fax(602) 547-8339
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateNovember 6, 2014
✔ NPI 1457332199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP2438
18275 N 59TH AVENUE, Glendale, AZ 85308
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Other Identifiers 2

Medicaid488740AZ
Medicare PIN135093

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheryl Niccum Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sheryl Niccum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group Arizona LLC
2.7 mi
Family Medicine
5620 W THUNDERBIRD RD STE F1
Glendale, AZ 85306
  • Reassigned Medicare billing, Arizona enrollment
  • 251 clinicians in this Medicare group
NPI 1053810622 (844) 969-0686

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers16 claims41 services$5.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

JEREMY NEBEKER MD
Family Medicine
18275 N 59TH AVENUE, BLDG K 162
GLENDALE, AZ 85308
Maricopa County (602) 547-8184
BRYAN SCOTT KUREC PA-C
Physician Assistant (Medical)
18275 N 59TH AVENUE, BLDG K 162
GLENDALE, AZ 85308
Maricopa County (602) 547-8184
DR. ROBERT DANIEL DEVINE D.O.
Family Medicine
18275 N 59TH AVENUE, BLDG K, SUITE 162
GLENDALE, AZ 85308
Maricopa County (602) 547-8184

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 Sheryl Niccum's NPI number?

The NPI number for Sheryl Niccum is 1457332199. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Sheryl Niccum located?

Sheryl Niccum practices at 18275 N 59th Avenue Bldg K, Suite 162, Glendale, AZ 85308. The listed phone number is (602) 547-8184.

What is Sheryl Niccum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sheryl Niccum enrolled in Medicare?

Yes. Sheryl Niccum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sheryl Niccum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheryl Niccum reassigns Medicare benefits to Summit Medical Group Arizona LLC (Glendale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheryl Niccum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sheryl Niccum was last updated on November 6, 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.