Active NPI
Stuart Paine Michelson, MD
- Emergency Medicine Physician
- Stateline, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 7741
- Practice address
- 155 Hwy 50
Stateline, NV 89449 - Phone
- (775) 589-8900
- Fax
- (775) 588-7110
- NPI assigned
- Jul 7, 2005
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7741 | NV | Primary |
| Emergency Medicine Physician | 207P00000X | G83056 | CA |
Addresses
Primary practice location
155 Hwy 50
Stateline, NV 89449
Mailing address
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Phone (530) 543-5659
Other practice location 1
1107 US Highway 395 N
Gardnerville, NV 89410-5304
Phone (775) 782-1500
Other practice location 2
2170 South Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 541-3420
Other practice location 3
1501-A Kirkwood Meadows Dr
Kirkwood, CA 95646
Phone (209) 258-7236
Other practice location 4
3860 Saddle Rd
South Lake Tahoe, CA 96150-8673
Phone (530) 543-5575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Oregon Health Sciences University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Hwy 50
Stateline, NV 89449-9816
Phone (775) 589-8900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7741 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tahoe Emergency Physicians Medical Corporation | Emergency Medicine | Current | Accepting new patients |
| Barton Healthcare System | Emergency Medicine | Current | Accepting new patients |
| Barton Healthcare System | Emergency Medicine | Current | Accepting new patients |
| Carson Tahoe Emergency Physicians | Emergency Medicine | Current | Accepting new patients |
| Barton Healthcare System | Current | Accepting new patients | |
| Barton Medical Foundation | Current | Accepting new patients | |
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Past | Accepting new patients | |
| Barton Healthcare System | Past | Accepting new patients | |
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Past | Accepting new patients |
Locations
1501 Kirkwood Meadows Dr
#A
Kirkwood, CA 95646
Phone (209) 258-6000
1077 4th St
Ste 2
South Lake Tahoe, CA 96150
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5659
1111 Emerald Bay Rd
#938
South Lake Tahoe, CA 96150
1111 Emerald Bay Rd
Ste 93
South Lake Tahoe, CA 96150
2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420
3860 Saddle Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5575
1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149
925 Ironwood Dr
Ste 1104
Minden, NV 89423
Phone (775) 783-7800
Interoperability endpoints
- smichelson66294@direct.renown.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- South Lake Tahoe, CA
- NPI 1235196015
Emergency Medicine
-
- Emergency Medicine Physician
- South Lake Tahoe, CA
- NPI 1104937408
-
- Diagnostic Radiology Physician
- Stateline, NV
- NPI 1467046102
-
- Emergency Medicine Physician
- Carson City, NV
- NPI 1396822821
-
- Emergency Medicine Physician
- South Lake Tahoe, CA
- NPI 1306931357
-
dba Barton Health Rural Health Clinic - Stateline
- Rural Health Clinic/Center
- Stateline, NV
- NPI 1588598536
-
dba Carson Valley Health
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
-
dba Carson Valley Health
- Internal Medicine Physician
- Gardnerville, NV
- NPI 1922153519
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Barton Memorial Hospital
- General Acute Care Hospital
- South Lake Tahoe, CA
- NPI 1003867565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003813882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 EMERALD BAY RD",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961506207",
"telephone_number": "530-543-5659",
"fax_number": "530-541-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 HWY 50",
"city": "STATELINE",
"state": "NV",
"postal_code": "89449",
"telephone_number": "775-589-8900",
"fax_number": "775-588-7110"
}
],
"practiceLocations": [
{
"address_1": "1107 US Highway 395 N",
"address_purpose": "LOCATION",
"city": "Gardnerville",
"state": "NV",
"postal_code": "894105304",
"country_code": "US",
"telephone_number": "775-782-1500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2170 South Ave",
"address_purpose": "LOCATION",
"city": "South Lake Tahoe",
"state": "CA",
"postal_code": "961507026",
"country_code": "US",
"telephone_number": "530-541-3420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501-A Kirkwood Meadows Dr",
"address_purpose": "LOCATION",
"city": "Kirkwood",
"state": "CA",
"postal_code": "95646",
"country_code": "US",
"telephone_number": "209-258-7236",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3860 Saddle Rd",
"address_purpose": "LOCATION",
"city": "South Lake Tahoe",
"state": "CA",
"postal_code": "961508673",
"country_code": "US",
"telephone_number": "530-543-5575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHELSON",
"first_name": "STUART",
"middle_name": "PAINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "7741",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G83056",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stateline, NV
- Martin E. Salm, M.D., LTD (Advanced Cosmetic Surgery And Dermatology)
- Maverick Medical, Inc. (Medical Dynamics Enterprises, Inc)
- Larissa McCullough
- Medrite Medical Solutions, LLC
- Susan Meller
- Claire Murdoch
- New Health Labs, Inc
- Nicole H Buell DDS
- Lara Lynette Niemann, OTR, ATP
- Optometric Care of Nevada, PC (Eye Zone - Tahoe)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.