NPIMap

Individual provider Active NPI

Cherisse Antoinette Bent Mwero, M.D.

  • Neurology Physician
  • Truckee, CA
National Provider Identifier
1457771107
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A140158 Issued in CA
Practice address
10956 Donner Pass Rd Ste 240
Truckee, CA 96161-4863
Phone
(530) 582-6368
Fax
(530) 550-6749
NPI assigned
Apr 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X A140158 CA Primary

Addresses

Primary practice location

10956 Donner Pass Rd Ste 240
Truckee, CA 96161-4863

Mailing address

4860 Y St
Suite 3600
Sacramento, CA 95817-2307
Phone (916) 734-3514

Other names 1

  • Cherisse Antoinette Bent Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190619000923 CA Practitioner - Neurology 2567796915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Loma Linda University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tahoe Forest Hospital DistrictGroup PAC ID 0446161335, shared by 12 NPIs, 140 clinicians

Practice addresses (Care Compare)

10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 587-6011

Hospital & facility affiliations

  • Tahoe Forest Hospital Hospital, Truckee, CA, CCN 051328
  • Incline Village Community Hospital Hospital, Incline Village, NV, CCN 291301
  • Eastern Plumas Hospital - Portola Campus Hospital, Portola, CA, CCN 051300
  • Barton Memorial Hospital Hospital, South Lake Tahoe, CA, CCN 050352
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Merit-based Incentive Payment System (MIPS)

Final score
75.06 of 100Reported as group
Quality
83.97
Promoting interoperability
88
Improvement activities
40
Cost
42.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A140158CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Forest Hospital District CurrentSince Apr 9, 2019 Accepting new patients
Tahoe Forest Hospital District CurrentSince Apr 9, 2019 Accepting new patients
Tahoe Forest Hospital District Multi-Specialty Current Accepting new patients

Locations

10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461

10956 Donner Pass Rd
Ste 240
Truckee, CA 96161
Phone (530) 550-9030

10121 Pine Ave
Fl 2
Truckee, CA 96161
Phone (530) 582-6368

10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220

Interoperability endpoints

  • Direct secure messaging: cmwero994629@directa.mercy.net

Organizations & group practices 3

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1457771107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST",
            "address_2": "SUITE 3600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-3514",
            "fax_number": "916-734-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD STE 240",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614863",
            "telephone_number": "530-582-6368",
            "fax_number": "530-550-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWERO",
        "first_name": "CHERISSE",
        "middle_name": "ANTOINETTE BENT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A140158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERISSE",
            "last_name": "BENT",
            "middle_name": "ANTOINETTE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.