Michael Salvatore Festenese, P.A.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

513 Issued in NV

Practice address

8571 W Lake Mead Blvd
Ste #120
Las Vegas, NV 89128-7631

Phone

(702) 360-5194

Fax

(702) 319-4754

NPI assigned

Jun 30, 2005

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kristensen Festenese Medical Group LLCGroup PAC ID 1355374828, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Kristensen Festenese Medical Group LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1316033947
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043217581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8571 W LAKE MEAD BLVD",
            "address_2": "SUITE #120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287631",
            "telephone_number": "702-360-5194",
            "fax_number": "702-319-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8571 W LAKE MEAD BLVD",
            "address_2": "STE #120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287631",
            "telephone_number": "702-360-5194",
            "fax_number": "702-319-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESTENESE",
        "first_name": "MICHAEL",
        "middle_name": "SALVATORE",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV ST BD MED EXAMINERS ID",
            "identifier": "513",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV ST BD PHARMACY CERT#",
            "identifier": "CS00178",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Earl Fesler, AU.D.
• Stephanie Ann Fessenden, LCSW, LMHC, LCADC
• Roy Fessia
• Laura Fessler, FNP-BC
• Shannon Fessler, LMFT
• Avaline Fester
• Nicole Feuring
• Carol Few
• Bamlak Feyessa
• Zinash T Feyisa

• Medical Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.