| Sheryl Niccum, NP | |
|
18275 N 59th Avenue, Bldg K, Suite 162, Glendale, AZ 85308 | |
| (602) 547-8184 | |
| (602) 547-8339 |
| Full Name | Sheryl Niccum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 18275 N 59th Avenue, Glendale, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457332199 | NPI | - | NPPES |
| 488740 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP2438 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Arizona Llc | 3173872835 | 198 |
| Entity Name | Summit Medical Group Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053810622 PECOS PAC ID: 3173872835 Enrollment ID: O20180814003015 |
| Mailing Address | Practice Location Address |
|---|---|
| Sheryl Niccum, NP 18275 N 59th Avenue, Bldg K, Suite 162, Glendale, AZ 85308 Ph: (602) 547-8184 | Sheryl Niccum, NP 18275 N 59th Avenue, Bldg K, Suite 162, Glendale, AZ 85308 Ph: (602) 547-8184 |
Mrs. Melanie Ann Nugent, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5310 W Thunderbird Rd Ste 301, Glendale, AZ 85306 Phone: 602-865-4442 Fax: 602-865-4507 | |
Kaitlin Spivey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2100 | |
Ruth E Sanders, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5041 N 86th Dr, Glendale, AZ 85305 Phone: 866-389-2727 Fax: 612-659-7101 | |
Kelly Lynn Rauch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7330 N 99th Ave Ste 325, Glendale, AZ 85307 Phone: 623-882-1292 Fax: 623-882-8184 | |
Joyce Kim, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302 Phone: 602-773-5546 | |
Anthony James Shaw, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303 Phone: 602-568-8381 | |
Victoria Bowers, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6808 N Dysart Rd Ste 136, Glendale, AZ 85307 Phone: 623-215-2525 Fax: 623-215-4555 |