Active NPI
Jenna Dramise, PA-C
- Surgical Physician Assistant
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA2717
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Carson Valley Health
- Tahoe Forest Hospital
- Incline Village Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61538 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barton Healthcare System | Current | Accepting new patients | |
| Lake Tahoe Orthopaedic Institute a Watson-Swanson Professional Corp | Current | Accepting new patients | |
| Carson Tahoe Physician Clinics | Current | Accepting new patients | |
| Barton Healthcare System | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Zephyr Cove, NV
- NPI 1609937911
NV
-
- Orthopaedic Surgery Physician
- South Lake Tahoe, CA
- NPI 1902131287
CA
-
- Diagnostic Radiology Physician
- Stateline, NV
- NPI 1467046102
-
- Internal Medicine Physician
- Carson City, NV
- NPI 1306533732
-
- Durable Medical Equipment & Medical Supplies
- Carson City, NV
- NPI 1619126240
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community/Behavioral Health Agency
- Gardnerville, NV
- NPI 1104482918
Hospital
-
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.