Keleigh Marie Nersasian, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

6370 SW Borland Rd
Suite 200
Tualatin, OR 97062-9768

Phone

(503) 691-1122

Fax

(503) 691-1144

NPI assigned

Jul 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David M Kao MD PCGroup PAC ID 1355390980, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.11 of 100Reported as apm

Quality

84.29

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: admin@skincancersurgerycenter.e-mdsdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skin Cancer Surgery Center

  • Preferred Provider Organization
  • Tualatin, OR
  • NPI 1699943126
  Medicare reassignment Care Compare group
• Skin Cancer Surgery Center LLC

  • Clinic/Center
  • Tualatin, OR
  • NPI 1912218223
  NPD (past)

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1215193057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 SW BORLAND RD",
            "address_2": "SUITE 200",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629768",
            "telephone_number": "503-691-1122",
            "fax_number": "503-691-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 SW BORLAND RD",
            "address_2": "SUITE 200",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629768",
            "telephone_number": "503-691-1122",
            "fax_number": "503-691-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERSASIAN",
        "first_name": "KELEIGH",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Nazemi, MD
• Yara D Nazzal, MD
• Neighborhood Health Center
• David Wesley Nelson Jr., MD
• Laura Nepveu, MD
• Jill Neuman, CSWA
• Sanjay P Neupane, MD
• Rachael Elizabeth Newman, DC
• Jennifer Linn Newton
• Next Level Chiropractic of Tualatin

• Surgical Physician Assistant in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Surgical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.

Verify at the official NPI Registry.