MICHELLE A FONTENELLE-GILMER M.D.
NPI 1053472449
Psychiatry & Neurology - Child & Adolescent Psychiatry in Las Vegas, NV

Active since December 12, 2006PECOS Enrolled
9440 W SAHARA AVE STE 237, LAS VEGAS, NV 89117(702) 765-4965 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2025, Jun 2, 2020, Apr 9, 2019 (3 updates tracked since 2019).

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

NPI1053472449
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameMICHELLE A FONTENELLE-GILMERCredential: M.D.
Location Address9440 W SAHARA AVE STE 237Las Vegas, NV 89117-8821
Mailing Address9701 Royal Lamb DrLas Vegas, NV 89145-8660
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
NPI 1053472449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in NV · 15137
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 4301077469 (MI)
9440 W SAHARA AVE STE 237, Las Vegas, NV 89117

Secondary Practice Location 1

Location 18549 Wilshire Blvd # 2271Beverly Hills, CA 90211-3104 · Phone (702) 765-4965

Other Identifiers 1

Medicaid4377332MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
9440 W SAHARA AVE STE 237
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.

When was this NPI record last updated?

The NPPES record for Michelle Fontenelle-gilmer was last updated on January 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.