Individual provider Active NPI

Cheryl G. Scalora, CNM

  • Advanced Practice Midwife
  • Nacogdoches, TX
National Provider Identifier
1881646131
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP111647 Issued in TX
Practice address
623 Russell Blvd
Nacogdoches, TX 75965-1247
Phone
(936) 305-5277
Fax
(866) 859-9363
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP111647 TX Primary

Addresses

Primary practice location

623 Russell Blvd
Nacogdoches, TX 75965-1247

Mailing address

623 Russell Blvd
Nacogdoches, TX 75965-1247
Phone (936) 305-5277

Other identifiers 2

IdentifierTypeStateIssuer
149852901MedicaidTX
890001003OtherTXRR MCR PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060731000365 TX Practitioner - Certified Nurse Midwife (CNM) 6507879012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Texas Medical School at Houston, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

2720 N University Dr
Nacogdoches, TX 75965-2938
Phone (936) 205-9824

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

623 Russell Blvd
Nacogdoches, TX 75965-1247
Phone (936) 305-5277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Aug 26, 2010 Accepting new patients
BHS Physicians Network, Inc CurrentSince Mar 14, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince Mar 14, 2023 Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
TH Healthcare, LTD Past Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1110 Nasa Pkwy
Ste 650
Houston, TX 77058
Phone (409) 772-0770

623 Russell Blvd
Nacogdoches, TX 75965
Phone (936) 305-5277

3737 Red Bluff Rd
#150
Pasadena, TX 77503
Phone (713) 473-5180

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1881646131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651247",
            "telephone_number": "936-305-5277",
            "fax_number": "866-859-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651247",
            "telephone_number": "936-305-5277",
            "fax_number": "866-859-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALORA",
        "first_name": "CHERYL",
        "middle_name": "G.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP111647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149852901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR PTAN",
            "identifier": "890001003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.