Cheryl R Macdonald, M.D.
Individual provider Active NPI Family Medicine Physician · Valley, NE
NPI 1700993433 · NPPES record last updated Jan 3, 2014
Key facts
- NPI
- 1700993433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20910 (NE)
- Practice address
- 625 South Pine
Valley, NE 68064 - Phone
- (402) 359-2277
- Fax
- (402) 359-5432
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Clinic Inc
Practice addresses (Care Compare)
625 S Pine St
Physicians Clinic Valley
Valley, NE 68064-4400
Phone (402) 359-2277
Hospital & facility affiliations
- Accentcare Home Health of Nebraska
- Brookestone Home Health Care
- The Nebraska Methodist Hospital
- Methodist Fremont Health
- Memorial Community Hospital & Health System
- CHI Health Lakeside
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091230000184 | NE | Practitioner - Family Practice | 1951441740 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Family Medicine | Current |
Accepting new patients |
| Nebraska Methodist Hospital | Current | Accepting new patients |
Locations
1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370
625 S Pine St
Valley, NE 68064
Phone (402) 359-2277
Interoperability endpoints
- cheryl.macdonald@direct.nmhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20910 | NE | Yes |
Addresses
Primary practice location
625 South Pine
Valley, NE 68064
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47068731761 | Medicaid | NE | |
| 1700993433 | Medicaid | IA |
Other providers in Valley, NE
- Heather Catherine Herchenbach
- Bernard C Hillyer
- Michaela R Larsen
- Jack Lenhart
- Daniel Joe Maas
- Mark L Mahloch
- Patrick J McCarville
- Stella McLey
- Me Urgent Care Nebraska, Inc
- Hannah Morrison
All providers in Valley, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.