Individual provider Active NPI

Stuart Paine Michelson, MD

  • Emergency Medicine Physician
  • Stateline, NV
National Provider Identifier
1003813882
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
7741 Issued in NV
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040203000495 CA Practitioner - Emergency Medicine 2163323304 Reassigns benefits to 2 organizations
I20070606000394 NV Practitioner - Emergency Medicine 2163323304 Reassigns benefits to 1 organization

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
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
7741NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Emergency Physicians Medical Corporation Emergency Medicine CurrentSince Aug 16, 2016 Accepting new patients
Barton Healthcare System Emergency Medicine Current Accepting new patients
Barton Healthcare System Emergency Medicine CurrentSince Nov 29, 2010 Accepting new patients
Carson Tahoe Emergency Physicians Emergency Medicine CurrentSince Nov 1, 2018 Accepting new patients
Barton Healthcare System CurrentSince Nov 29, 2010 Accepting new patients
Barton Medical Foundation CurrentSince Jun 13, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.