Provider Demographics
NPI:1558308940
Name:CHEEVER, MICHELE (APN, CNP)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:
Last Name:CHEEVER
Suffix:
Gender:F
Credentials:APN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 RAINTREE CIRCLE
Mailing Address - Street 2:STE 110
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013
Mailing Address - Country:US
Mailing Address - Phone:972-678-4600
Mailing Address - Fax:972-678-4602
Practice Address - Street 1:977 RAINTREE CIRCLE
Practice Address - Street 2:STE 110
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013
Practice Address - Country:US
Practice Address - Phone:972-678-4600
Practice Address - Fax:972-678-4602
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209005750363LF0000X, 363LC0200X
IL309.003039363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL112165OtherHEALTH ALLIANCE
IL05732097OtherBC GROUP NUMBER
IL112165OtherHEALTH ALLIANCE
ILP00297898Medicare ID - Type UnspecifiedRR MEDICARE NUMBER
IL212636Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
ILK27061Medicare ID - Type Unspecified