Individual provider Active NPI

Michelle Cheloha, M.D.

  • Family Medicine Physician
  • Scottsbluff, NE
National Provider Identifier
1083637409
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21891 Issued in NE
Practice address
3911 Avenue B
Suite 1100
Scottsbluff, NE 69361-4617
Phone
(308) 630-2100
Fax
(308) 630-2149
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21891 NE Primary

Addresses

Primary practice location

3911 Avenue B
Suite 1100
Scottsbluff, NE 69361-4617

Mailing address

2990 Monument Shadows
Gering, NE 69341-1568
Phone (308) 635-1515

Other identifiers 1

IdentifierTypeStateIssuer
P00060799OtherNERR MEDICARE

Other names 1

  • Dr. Michelle Simmons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050720001024 NE Practitioner - Family Practice 1355378498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

Practice addresses (Care Compare)

1275 Sage St
Gering, NE 69341-3227
Phone (308) 436-2101

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

3911 Ave B
Scottsbluff, NE 69361-4617

Hospital & facility affiliations

  • Brookestone Home Health & Hospice Home health agency, Gering, NE, CCN 287004
  • Brookestone Home Health & Hospice Hospice, Gering, NE, CCN 281506
  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
  • Community Hospital Hospital, Torrington, WY, CCN 531307
  • Box Butte General Hospital Hospital, Alliance, NE, CCN 281360
  • Heritage Estates Nursing home, Gering, NE, CCN 285071
  • Monument Healthcare and Nursing Center Nursing home, Scottsbluff, NE, CCN 285095
  • Mitchell Care Center Nursing home, Mitchell, NE, CCN 285287

Merit-based Incentive Payment System (MIPS)

Final score
80.07 of 100Reported as group
Quality
62.54
Promoting interoperability
98
Improvement activities
40
Cost
72.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions40
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21891NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic Family Medicine CurrentSince Sep 1, 2008 Accepting new patients
Crete Area Medical Center Family Medicine Past Accepting new patients
Regional West Physicians Clinic Past Accepting new patients
VSL Gering LLC Past Accepting new patients

Locations

1275 Sage St
Gering, NE 69341
Phone (308) 436-2101

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1083637409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 MONUMENT SHADOWS",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411568",
            "telephone_number": "308-635-1515",
            "fax_number": "308-630-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AVENUE B",
            "address_2": "SUITE 1100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614617",
            "telephone_number": "308-630-2100",
            "fax_number": "308-630-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELOHA",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "21891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00060799",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SIMMONS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.