Active NPI
Michael J Stellmacher, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1144243999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10003211
- Practice address
- 3570 E Flamingo Rd
Las Vegas, NV 89121-5000 - Phone
- (360) 951-4926
- NPI assigned
- Jul 25, 2006
- Last updated
- Jun 11, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10003211 | WA | Primary |
Addresses
Primary practice location
3570 E Flamingo Rd
Las Vegas, NV 89121-5000
Mailing address
3570 E Flamingo Rd
Las Vegas, NV 89121-5000
Phone (360) 951-4926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9010 W Cheyenne Ave
Las Vegas, NV 89129-8932
Phone (702) 240-8646
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fremont Emergency Services Scherr LTD | Physician Assistant | Current | Accepting new patients |
| Joyce Luteyn, M.D. PLLC | Past | Accepting new patients | |
| Emergency Medicine Physicians of Clark Pediatrics McCourt, PLLC | Past | Accepting new patients | |
| Churchill Mangat Emergency Group PC | Past | Accepting new patients | |
| Urgent Care of Olympia | Past | Accepting new patients |
Locations
3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCDIDD/Endpoint/DCDIDD
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1679550149
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1518120971
Physician Assistant
-
- Emergency Medicine Physician
- Fallon, NV
- NPI 1881905149
-
- Emergency Medicine Physician
- Henderson, NV
- NPI 1568763589
-
- Specialist
- Olympia, WA
- NPI 1437337854
-
- Urgent Care Clinic/Center
- Olympia, WA
- NPI 1922270891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276214400000",
"number": "1144243999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3570 E FLAMINGO RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215000",
"telephone_number": "360-951-4926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3570 E FLAMINGO RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215000",
"telephone_number": "360-951-4926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELLMACHER",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2010-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10003211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.