Michele Lee Clingenpeel, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

50593 Issued in CO

Practice address

2127 E Harmony Rd
Ste 140
Fort Collins, CO 80528-3405

Phone

(970) 297-6250

Fax

(970) 297-6260

NPI assigned

Apr 20, 2006

Last updated

Jul 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Michele Clingenpeel Ptaszkiewicz Other name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Michigan State University College of Human Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sedgwick County Memorial HospitalGroup PAC ID 1052201100, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sedgwick County Memorial Hospital Hospital, Julesburg, CO, CCN 061310

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sedgwick County Memorial Hospital

  dba Valley Medical Clinic

  • Family Medicine Physician
  • Julesburg, CO
  • NPI 1881602738
  Medicare reassignment Care Compare group
• Heritage Medical Group

  • General Practice Physician
  • Eastpointe, MI
  • NPI 1407803927
  NPD (past)
• Home Care Physician PC

  • Home Health Agency
  • Eastpointe, MI
  • NPI 1285681700
  NPD (past)
• Matt Ptaszkiewicz MD PC

  • Family Medicine Physician
  • Grosse Pointe Woods, MI
  • NPI 1457537086
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sedgwick County Memorial Hospital

  • Critical Access Hospital
  • Julesburg, CO
  • NPI 1740295591
  Care Compare affiliation

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1851356737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 E HARMONY RD",
            "address_2": "SUITE 140",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283405",
            "telephone_number": "970-297-6250",
            "fax_number": "970-297-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 E HARMONY RD",
            "address_2": "STE 140",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283405",
            "telephone_number": "970-297-6250",
            "fax_number": "970-297-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGENPEEL",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301077135",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "50593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71973052",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "PTASZKIEWICZ",
            "middle_name": "CLINGENPEEL",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas Scott Cleveland, D.P.T.
• Dylan Clifford, PT
• Jamie Lynne Cline, LPC
• Lisa J Cline, LCSW
• Morgan Cline
• Clinical Social Work of Colorado, LLC
• Alexander Clinkenbeard, MD
• Victoria Anne Clipsham, MD
• Ana Cloeter, BS
• Tracy Jo Close, M.ED.

• Family Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.