Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cheyenne Koble

Individual provider Physician Assistant · NPI 1750069241

Cheyenne Koble is a Physician Assistant in Plymouth, New Hampshire. Qualified in 2023, 3 years ago. Practices with Mid-State Health Center, a 33-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170
Phone: (603) 536-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1750069241
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mid-State Health Center — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients74
Services billed 117 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Mid-State Health Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 33 clinicians in the practice; 12 are shown here.

Other providers in Plymouth