Active NPI
McKenna Paige O'Connor, PA-C
- Physician Assistant
- Reno, NV
National Provider Identifier
1104605633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 689 Sierra Rose Dr Ste B
Reno, NV 89511-2076 - Phone
- (775) 323-3000
- Fax
- (775) 323-3001
- NPI assigned
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
689 Sierra Rose Dr Ste B
Reno, NV 89511-2076
Mailing address
689 Sierra Rose Dr Ste B
Reno, NV 89511-2076
Phone (775) 636-7100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
689 Sierra Rose Dr
Suite B
Reno, NV 89511-2076
Phone (775) 323-3000
Hospital & facility affiliations
- Saint Mary'S Regional Medical Center
- Renown Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhvi Rowan PLLC | Current | Accepting new patients |
Locations
689 Sierra Rose Dr
Ste B
Reno, NV 89511
Phone (775) 323-3000
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.
-
- Vascular Surgery Physician
- Reno, NV
- NPI 1073053286
-
- Cardiovascular Disease Physician
- Reno, NV
- NPI 1720844608
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- Rehabilitation Hospital Unit
- Reno, NV
- NPI 1851658025
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1104605633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "689 SIERRA ROSE DR STE B",
"city": "RENO",
"state": "NV",
"postal_code": "895112076",
"telephone_number": "775-636-7100",
"fax_number": "775-636-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "689 SIERRA ROSE DR STE B",
"city": "RENO",
"state": "NV",
"postal_code": "895112076",
"telephone_number": "775-323-3000",
"fax_number": "775-323-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "MCKENNA",
"middle_name": "PAIGE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.