Active NPI
Michelle L Remley, PA-C
- Physician Assistant
- Greeley, CO
National Provider Identifier
1396767323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1852
- Practice address
- 5890 W 13TH St
Suite 101
Greeley, CO 80634-4821 - Phone
- (970) 348-0020
- Fax
- (970) 348-0055
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- 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 | 1852 | CO | Primary |
Addresses
Primary practice location
5890 W 13TH St
Suite 101
Greeley, CO 80634-4821
Mailing address
5890 W 13TH St
Suite 101
Greeley, CO 80634-4821
Phone (970) 348-0020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82483752 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1852 | CO | MD | Clinical Psychologist |
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": "1244505600000",
"number": "1396767323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5890 W 13TH ST",
"address_2": "SUITE 101",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344821",
"telephone_number": "970-348-0020",
"fax_number": "970-348-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5890 W 13TH ST",
"address_2": "SUITE 101",
"city": "GREELEY",
"state": "CO",
"postal_code": "806344821",
"telephone_number": "970-348-0020",
"fax_number": "970-348-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMLEY",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82483752",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.