NPIMap

Individual provider Active NPI

Celeste Marie Callinan, PA-C

  • Physician Assistant
  • Gardnerville, NV
National Provider Identifier
1255641809
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1232 Issued in NV
Practice address
1516 Virginia Ranch Rd
Suite 201
Gardnerville, NV 89410-5794
Phone
(775) 783-3020
Fax
(775) 783-3021
NPI assigned
Oct 18, 2010
Last updated
Jan 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1232 NV Primary

Addresses

Primary practice location

1516 Virginia Ranch Rd
Suite 201
Gardnerville, NV 89410-5794

Mailing address

1520 Virginia Ranch Rd
Gardnerville, NV 89410-5731
Phone (775) 782-1500

Other identifiers 1

IdentifierTypeStateIssuer
PA1232OtherNVLICENSE NUMBER

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110621000234 NV Practitioner - Physician Assistant 3173701224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Lyon Health Center IncGroup PAC ID 0648178533, 20 clinicians

Practice addresses (Care Compare)

213 S Whitacre St
Yerington, NV 89447-2561
Phone (775) 463-2301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Lyon Health Center, Inc. CurrentSince Jun 12, 2018 Accepting new patients

Locations

213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301

Interoperability endpoints

  • Direct secure messaging: ccallinan65688@direct.renown.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1255641809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 VIRGINIA RANCH RD",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105731",
            "telephone_number": "775-782-1500",
            "fax_number": "775-782-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 VIRGINIA RANCH RD",
            "address_2": "SUITE 201",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105794",
            "telephone_number": "775-783-3020",
            "fax_number": "775-783-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLINAN",
        "first_name": "CELESTE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PA1232",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

Verify at the official NPI Registry.