Active NPI
Matthew Anthony Scheberle, PA-C
- Physician Assistant
- Montrose, CO
National Provider Identifier
1710268818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3182
- Practice address
- 910 S 4TH St
Montrose, CO 81401-4226 - Phone
- (970) 249-6641
- Fax
- (970) 249-5148
- NPI assigned
- Sep 1, 2011
- Sex
- Male
- 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 | 3182 | CO | Primary |
Addresses
Primary practice location
910 S 4TH St
Montrose, CO 81401-4226
Mailing address
111 Windwalker Rd
Buena Vista, CO 81211-8507
Phone (970) 689-9977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231208001908 | CO | Order and Referring Only - Physician Assistant | 2860665262 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3182 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1710268818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WINDWALKER RD",
"city": "BUENA VISTA",
"state": "CO",
"postal_code": "812118507",
"telephone_number": "970-689-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 S 4TH ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014226",
"telephone_number": "970-249-6641",
"fax_number": "970-249-5148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEBERLE",
"first_name": "MATTHEW",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-01",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "3182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.