Individual provider Active NPI

Kelina Phifer, APRN

  • Family Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1104547199
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
857579 Issued in NV
Practice address
1201 S Carson St
Carson City, NV 89701-5225
Phone
(775) 445-7339
Fax
(775) 841-1139
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 857579 NV Primary

Addresses

Primary practice location

1201 S Carson St
Carson City, NV 89701-5225

Mailing address

1201 S Carson St
Carson City, NV 89701-5225
Phone (775) 445-7339

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221110002447 NV Practitioner - Nurse Practitioner 8224405899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Tahoe Regional HealthcareGroup PAC ID 1759284862, 20 clinicians

Practice addresses (Care Compare)

1600 Medical Pkwy
Carson City, NV 89703-4625
Phone (775) 445-8000

Hospital & facility affiliations

  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
857579NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Regional Healthcare CurrentSince Oct 31, 2022 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Oct 31, 2022 Accepting new patients

Locations

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

900 E Long St
Carson City, NV 89706
Phone (775) 884-7000

1201 S Carson St
Carson City, NV 89701
Phone (775) 445-7330

1201 S Carson St
Ste 200
Carson City, NV 89701

Interoperability endpoints

  • Direct secure messaging: kphiferstu504524@direct.med.utah.edu

Organizations & group practices 2

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 2

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1104547199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015225",
            "telephone_number": "775-445-7339",
            "fax_number": "775-841-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015225",
            "telephone_number": "775-445-7339",
            "fax_number": "775-841-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIFER",
        "first_name": "KELINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "857579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.