Individual provider Active NPI

Jenna Dramise, PA-C

  • Surgical Physician Assistant
  • Carson City, NV
National Provider Identifier
1083288104
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA2717 Issued in NV
Practice address
1525 Vista LN Ste 100
Carson City, NV 89703-4633
Phone
(775) 445-6622
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA2717 NV Primary

Addresses

Primary practice location

1525 Vista LN Ste 100
Carson City, NV 89703-4633

Mailing address

PO Box 2168
Carson City, NV 89702-2168
Phone (775) 445-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230104000553 NV Practitioner - Physician Assistant 1153791314 Reassigns benefits to 4 organizations
I20240226001603 CA Practitioner - Physician Assistant 1153791314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barton Medical Foundation 97 clinicians

Practice addresses (Care Compare)

155 Hwy 50
Stateline, NV 89449-9816
Phone (775) 589-8900

165 Hwy 50
Stateline, NV 89449-9816
Phone (775) 589-8950

2074 Lake Tahoe Blvd
Suite 4
South Lake Tahoe, CA 96150-6408
Phone (530) 543-5554

2170 B S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 539-6620

2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5807

Hospital & facility affiliations

  • Barton Memorial Hospital Hospital, South Lake Tahoe, CA, CCN 050352
  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306
  • Tahoe Forest Hospital Hospital, Truckee, CA, CCN 051328
  • Incline Village Community Hospital Hospital, Incline Village, NV, CCN 291301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61538CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Barton Healthcare System CurrentSince Mar 1, 2024 Accepting new patients
Lake Tahoe Orthopaedic Institute a Watson-Swanson Professional Corp CurrentSince Mar 1, 2024 Accepting new patients
Carson Tahoe Physician Clinics CurrentSince Dec 12, 2022 Accepting new patients
Barton Healthcare System CurrentSince Mar 1, 2024 Accepting new patients
CTH Physicians Clinic Current Accepting new patients

Locations

2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

1139 3rd St
South Lake Tahoe, CA 96150
Phone (530) 541-3100

1525 Vista Ln
Ste 100
Carson City, NV 89703
Phone (775) 227-2720

704 W Nye Ln
Ste 102
Carson City, NV 89703
Phone (775) 687-8570

935 Mica Dr
Ste 13
Carson City, NV 89705
Phone (775) 783-3065

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

925 Tahoe Blvd
Ste 105
Incline Village, NV 89451
Phone (775) 580-7600

212 Elks Point Rd
Unit 201
Zephyr Cove, NV 89448
Phone (775) 588-9188

Interoperability endpoints

  • Direct secure messaging: jdramise117690@direct.renown.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1083288104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897022168",
            "telephone_number": "775-445-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 VISTA LN STE 100",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034633",
            "telephone_number": "775-445-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAMISE",
        "first_name": "JENNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA2717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.