Individual provider Active NPI

Nicholas Robert Love, MD

  • Dermatopathology Physician
  • Cheyenne, WY
National Provider Identifier
1932735925
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
18287A Issued in WY
Practice address
123 Western Hills Blvd
Cheyenne, WY 82009-3446
Phone
(307) 635-0226
NPI assigned
Mar 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 18287A WY Primary
Dermatology Physician 207N00000X A181102 CA

Addresses

Primary practice location

123 Western Hills Blvd
Cheyenne, WY 82009-3446

Mailing address

123 Western Hills Blvd
Cheyenne, WY 82009-3446
Phone (307) 635-0226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230809002924 CA Practitioner - Dermatology 5597187575 Reassigns benefits to 3 organizations
I20251028004691 WY Practitioner - Dermatology 5597187575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Stanford University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cheyenne Skin Clinic LLPGroup PAC ID 4183772122, 11 clinicians

Practice addresses (Care Compare)

123 Western Hills Blvd
Cheyenne, WY 82009-3446
Phone (307) 635-0226

4860 Y St
Sacramento, CA 95817-2307

500 University Ave
Suite 220
Sacramento, CA 95825-6525
Phone (916) 734-2011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision53
Removal of skin lesions171
Removal of nail tissue1-10
Removal or shaving of skin growth76
Skin biopsy73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A181102CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Dermatology Current Accepting new patients
Permanente Medical Group Inc Dermatology CurrentSince Jun 26, 2023 Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2024 Accepting new patients
Cheyenne Skin Clinic Dermatology Current Accepting new patients
Regents of the University of Ca CurrentSince Jul 1, 2024 Accepting new patients
Cheyenne Skin Clinic LLP CurrentSince Nov 1, 2025 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 1, 2024 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 1, 2024 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Jun 26, 2023 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients
Center for Dermatologic Surgery Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

3301 C St
Ste 1400
Sacramento, CA 95816
Phone (916) 734-6111

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

77 Cadillac Dr
Ste 240
Sacramento, CA 95825
Phone (916) 569-4400

6600 Bruceville Rd
Sacramento, CA 95823

3301 C St
Ste 1300
Sacramento, CA 95816
Phone (916) 734-6111

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

123 Western Hills Blvd
Cheyenne, WY 82009
Phone (307) 635-0226

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1932735925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WESTERN HILLS BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093446",
            "telephone_number": "307-635-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WESTERN HILLS BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820093446",
            "telephone_number": "307-635-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "NICHOLAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-21",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "WY",
            "license": "18287A",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A181102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.