Karissa A Fahnestock, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA281 Issued in ME

Practice address

46 Fairview Ave
Suite 114
Skowhegan, ME 04976-1481

Phone

(207) 474-6943

Fax

(207) 474-6946

NPI assigned

Jan 20, 2010

Last updated

Sep 27, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Redington-Fairview General Hospital

  dba Inland Family Care - Madison/Skowhegan

  • Rural Health Clinic/Center
  • Madison, ME
  • NPI 1851423008
  NPD (past)

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1073844791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049760468",
            "telephone_number": "207-858-8353",
            "fax_number": "207-474-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FAIRVIEW AVE",
            "address_2": "SUITE 114",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761481",
            "telephone_number": "207-474-6943",
            "fax_number": "207-474-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHNESTOCK",
        "first_name": "KARISSA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Eden, DMD
• Mohamed Ali Elattar
• Robert Greg Ellis, PA-C
• Elizabeth Walker Emerson, M.A. CCC-SLP
• Richard J Enright, CRNA
• Family & Friends Home Care, LLC
• Kara Marie Fay, PTA
• Hannah J Fecteau, COTA/L
• Nicholas Wayne Fennell
• Joseph L Fichthorn, M.D.

• Physician Assistant in Skowhegan, ME
• Providers in Skowhegan, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.