MICHELLE A FONTENELLE-GILMER M.D.
NPI 1053472449
Psychiatry & Neurology - Child & Adolescent Psychiatry in Las Vegas, NV
About Michelle A Fontenelle-gilmer M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE A FONTENELLE-GILMER M.D. (NPI 1053472449) is an individual child & adolescent psychiatry provider in Las Vegas, Nevada, licensed in Nevada (15137) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Beverly Hills.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michelle A Fontenelle-gilmer M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michelle Fontenelle-gilmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Las Vegas, NV 89102
- Reassigned Medicare billing, Nevada enrollment
- 286 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89117
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michelle Fontenelle-gilmer's NPI number?
The NPI number for Michelle Fontenelle-gilmer is 1053472449. It was assigned to this individual provider in the NPPES registry on December 12, 2006.
Where is Michelle Fontenelle-gilmer located?
Michelle Fontenelle-gilmer practices at 9440 W Sahara Ave Ste 237, Las Vegas, NV 89117. The listed phone number is (702) 765-4965.
What is Michelle Fontenelle-gilmer's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Michelle Fontenelle-gilmer enrolled in Medicare?
Yes. Michelle Fontenelle-gilmer is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michelle Fontenelle-gilmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Fontenelle-gilmer reassigns Medicare benefits to Unlv Medicine (Las Vegas, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Fontenelle-gilmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michelle Fontenelle-gilmer was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Michelle A Fontenelle-Gilmer, M.D. · NPI 1053472449
Child & Adolescent Psychiatry physician in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1053472449 (Entity type: Individual)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 15137 (Nevada)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9440 W SAHARA AVE STE 237, Las Vegas, NV 89117-8821
- **Phone:** (702) 765-4965
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Unlv Medicine (NPI 1407397235, Las Vegas, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2025
- **Other identifiers:** Medicaid 4377332 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1053472449) · Data from the CMS NPPES public registry.