Individual provider Active NPI

Charles E Scholtes

  • Surgical Physician Assistant
  • Lincoln, NE
National Provider Identifier
1285643189
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
251 Issued in NE
Practice address
8207 Northwoods Drive
Lincoln, NE 68505-2093
Phone
(402) 466-0555
Fax
(402) 488-0743
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 251 NE Primary

Addresses

Primary practice location

8207 Northwoods Drive
Lincoln, NE 68505-2093

Mailing address

PO Box 67250
Lincoln, NE 68506-7250
Phone (402) 328-8833

Other identifiers 1

IdentifierTypeStateIssuer
39059OtherNEBCBS

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070509000706 NE Practitioner - Physician Assistant 2961508841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Orthopaedic Center PCGroup PAC ID 2567432461, 65 clinicians

Practice addresses (Care Compare)

2910 Betten Dr
Crete, NE 68333-3084
Phone (402) 826-2102

555 S 70TH St
CHI Health Saint Elizabeth
Lincoln, NE 68510-2462
Phone (402) 219-7700

575 S 70TH St
Lincoln, NE 68510-2471
Phone (402) 436-2000

6900 A St
Lincoln, NE 68510-4120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.8 of 100Reported as group
Quality
89.76
Promoting interoperability
99
Improvement activities
40
Cost
70.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10979NEMDMental Health Counselor
251NEMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Orthopaedic Center PC Surgical CurrentSince Jul 1, 2013 Accepting new patients
Premier Bone & Joint Past Accepting new patients

Locations

555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000

575 S 70th St
Ste 200
Lincoln, NE 68510
Phone (402) 436-2000

6900 A St
Ste 100
Lincoln, NE 68510
Phone (402) 436-2000

Interoperability endpoints

  • Direct secure messaging: charles.scholtes.1@32860.direct.athenahealth.com

Organizations & group practices 2

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 7

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1285643189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67250",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067250",
            "telephone_number": "402-328-8833",
            "fax_number": "402-328-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 NORTHWOODS DRIVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052093",
            "telephone_number": "402-466-0555",
            "fax_number": "402-488-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLTES",
        "first_name": "CHARLES",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NE",
            "license": "251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39059",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.