Individual provider Active NPI

Carmela M Cipollina, M.D.

  • General Practice Physician
  • Yerington, NV
National Provider Identifier
1376670042
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD037455E Issued in PA
Practice address
171 Campbell LN
Yerington, NV 89447-9768
Phone
(775) 783-0222
Fax
(775) 463-3016
NPI assigned
Feb 28, 2007
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD037455E PA Primary

Addresses

Primary practice location

171 Campbell LN
Yerington, NV 89447-9768

Mailing address

PO Box 227
Nixon, NV 89424-0227
Phone (775) 574-1018

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170518002667 NV Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 3577701127 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yerington Paiute Tribal Council CurrentSince Apr 8, 2017 Accepting new patients

Locations

171 Campbell Ln
Yerington, NV 89447
Phone (775) 463-3335

Interoperability endpoints

  • Direct secure messaging: ccipollina@ypt.directbygreenway.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1376670042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "NIXON",
            "state": "NV",
            "postal_code": "894240227",
            "telephone_number": "775-574-1018",
            "fax_number": "775-574-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CAMPBELL LN",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894479768",
            "telephone_number": "775-783-0222",
            "fax_number": "775-463-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPOLLINA",
        "first_name": "CARMELA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD037455E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yerington, NV

Sources for this page

Verify at the official NPI Registry.