NPIMap

Individual provider Active NPI

Philip Frank Ferrara III, PA-C

  • Physician Assistant
  • Carson City, NV
National Provider Identifier
1205669264
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1425 Vista LN
Carson City, NV 89703-4644
Phone
(775) 445-6680
NPI assigned
Aug 23, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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 8

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CTH Physicians Clinic 107 clinicians
Carson Tahoe Physician Clinics 104 clinicians

Practice addresses (Care Compare)

1425 Vista LN
Carson City, NV 89703-4644
Phone (775) 445-6680

1600 Medical Pkwy
Carson City, NV 89703-4625

2874 N Carson St
Suite 200
Carson City, NV 89706-1682
Phone (775) 445-7170

Hospital & facility affiliations

  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306
  • Barton Memorial Hospital Hospital, South Lake Tahoe, CA, CCN 050352
  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20250113001053 NV Practitioner - Physician Assistant 5496283921 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CTH Physicians Clinic CurrentSince Dec 1, 2025 Accepting new patients
Carson Tahoe Physician Clinics CurrentSince Jan 6, 2025 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Jan 6, 2025 Accepting new patients

Locations

1425 Vista Ln
Carson City, NV 89703
Phone (775) 445-6680

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

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

901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630

10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026

Interoperability endpoints

  • Direct secure messaging: pferrara707545@direct.med.utah.edu

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NV Primary

Addresses

NPPES NPI Registry

Primary practice location

1425 Vista LN
Carson City, NV 89703-4644

Mailing address

441 N 9TH Ave
Bozeman, MT 59715-3329
Phone (770) 883-9177

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2024.

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1205669264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N 9TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153329",
            "telephone_number": "770-883-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 VISTA LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034644",
            "telephone_number": "775-445-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARA",
        "first_name": "PHILIP",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.