NPIMap

Individual provider Active NPI

Cheryl M Colbenson, D.O.

  • Emergency Medicine Physician
  • Eau Claire, WI
National Provider Identifier
1114959970
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO2832 Issued in ME
Practice address
900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone
(715) 717-4121
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 036-112089 IL
Emergency Medicine Physician 207P00000X DO2832 ME Primary

Addresses

Primary practice location

900 W Clairemont Ave
Eau Claire, WI 54701-6122

Mailing address

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2000

Other practice location 1

2661 County Highway I
Chippewa Falls, WI 54729-5407
Phone (715) 723-1811

Other practice location 2

900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 717-4121

Other identifiers 2

IdentifierTypeStateIssuer
800810OtherMEDICARE GROUP NO.
036112089MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181101002794 ME Practitioner - Emergency Medicine 4789637950 Reassigns benefits to 7 organizations
I20250905003355 MN Practitioner - Emergency Medicine 4789637950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph HospitalGroup PAC ID 6406766336, 197 clinicians
Emergency Medicine Services of Maine LLCGroup PAC ID 1052657616, 56 clinicians

Practice addresses (Care Compare)

360 Broadway
Bangor, ME 04401-3979

50 Union St
Ellsworth, ME 04605-1534
Phone (207) 664-5311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-112089ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Hospital CurrentSince Feb 6, 2024 Accepting new patients
Emergency Medicine Services of Maine, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Jul 1, 2025 Accepting new patients
Mainehealth CurrentSince Jul 1, 2019 Accepting new patients
Mainegeneral Medical Center CurrentSince May 28, 2024 Accepting new patients
Mainehealth CurrentSince Jul 1, 2019 Accepting new patients
Mainehealth Current Accepting new patients
Houlton Regional Hospital CurrentSince Aug 19, 2019 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Jul 1, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Jan 6, 2020 Accepting new patients
Mainehealth Current Accepting new patients
Central Maine Medical Center CurrentSince Jan 6, 2020 Accepting new patients
Mainegeneral Medical Center CurrentSince May 28, 2024 Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
Houlton Regional Hospital CurrentSince Aug 19, 2019 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

149 North St
Waterville, ME 04901
Phone (207) 622-1959

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: ccolbenson258403@direct.mmc.mainehealth.org
  • Direct secure messaging: ccolbenson2534097@direct.bsmhealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1114959970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-655-2000",
            "fax_number": "309-655-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016122",
            "telephone_number": "715-717-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2661 County Highway I",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547295407",
            "country_code": "US",
            "telephone_number": "715-723-1811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W Clairemont Ave",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016122",
            "country_code": "US",
            "telephone_number": "715-717-4121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLBENSON",
        "first_name": "CHERYL",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-112089",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "DO2832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NO.",
            "identifier": "800810",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036112089",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.