Nicholle Peralta, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DR.0049827 Issued in CO

Practice address

8217 W 20TH St Ste C
Greeley, CO 80634-3033

Phone

(970) 775-8103

Fax

(970) 775-8103

NPI assigned

Jul 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Psychiatry

Education

Nebraska College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindset TMS, Inc.Group PAC ID 2860839677, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mindset TMS, Inc

  • Psychiatry Physician
  • Greeley, CO
  • NPI 1497397590
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1982868709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8217 W 20TH ST STE C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8217 W 20TH ST STE C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343033",
            "telephone_number": "970-775-8103",
            "fax_number": "970-775-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "NICHOLLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0049827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "COAAA0380",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Marie Pendleton, DPT
• Elizabeth Pennington, R.N.
• Patricia Gail Penrod, L.AC.
• McKenzie Pepin, PHARMD
• Rachael Michelle Peppler
• Nanci Perea
• Alexa Brooke Pereira
• Lhandri Perekrestenko
• Tanya Louise Perekrestenko
• Rachel Perez, MSW

• Psychiatry Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.