Active NPI
Michelle Renee Schenk, D.O.
- Surgery Physician
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS 11488
- Practice address
- 1530 Lee Blvd
Ste 1100
Lehigh Acres, FL 33936-4893 - Phone
- (239) 368-0241
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101017559 | MI | |
| Surgery Physician | 208600000X | OS 11488 | FL | Primary |
Addresses
Primary practice location
1530 Lee Blvd
Ste 1100
Lehigh Acres, FL 33936-4893
Mailing address
1530 Lee Blvd
Ste 1100
Lehigh Acres, FL 33936-4893
Phone (239) 368-0241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000
Hospital & facility affiliations
- Lawton Indian Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 17 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 11488 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Prime Healthcare Services - Lehigh Physician Management LLC | Family Medicine | Current | Accepting new patients |
| Bullhead City Clinic Corp | Family Medicine | Past | Accepting new patients |
| Bullhead City Clinic Corp | Family Medicine | Past | Accepting new patients |
| Kingman Healthcare, Inc | Family Medicine | Past | Accepting new patients |
Locations
1530 Lee Blvd
Ste 1100
Lehigh Acres, FL 33936
Phone (239) 303-2600
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
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 and National Provider Directory roles.
-
- Surgery Physician
- Lehigh Acres, FL
- NPI 1114385655
Family Medicine
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- Family Medicine Physician
- Laughlin, NV
- NPI 1700240884
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federal Public Health Clinic/Center
- Anadarko, OK
- NPI 1881637403
Hospital
-
- Federal Public Health Clinic/Center
- Carnegie, OK
- NPI 1457459158
Hospital
-
- Federal Public Health Clinic/Center
- Clinton, OK
- NPI 1205923448
Hospital
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1760489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1306018734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 LEE BLVD",
"address_2": "STE 1100",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364893",
"telephone_number": "239-368-0241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 LEE BLVD",
"address_2": "STE 1100",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364893",
"telephone_number": "239-368-0241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHENK",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101017559",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "OS 11488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.