Individual provider Active NPI

Megan Elizabeth Karleen, PA-C

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1306174024
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1865 Issued in NV
Practice address
509 Hammill LN
Reno, NV 89511-1004
Phone
(775) 332-0300
Fax
(775) 332-0311
NPI assigned
Nov 19, 2009
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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 PA1865 NV Primary

Addresses

Primary practice location

509 Hammill LN
Reno, NV 89511-1004

Mailing address

509 Hammill LN
Reno, NV 89511-1004
Phone (775) 332-0300

Other names 1

  • Megan Elizabeth Larson and Baumbach Former name

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
I20170830003906 NV Practitioner - Physician Assistant 1557405545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne G Hayes Dermatology PCGroup PAC ID 7911130646, 4 clinicians

Practice addresses (Care Compare)

509 Hammill LN
Reno, NV 89511-1004
Phone (775) 332-0300

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as group
Quality
95
Improvement activities
40
Cost
90.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56802CAMDPharmacist
PA1865NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer and Dermatology Institute Current Accepting new patients
Mountain West Derm-Blackhart, PLLC CurrentSince Aug 14, 2017 Accepting new patients
Mountain West Derm - Blackhart PLLC CurrentSince Aug 14, 2017 Accepting new patients
Cascade Eye & Skin Centers P.C. Past Accepting new patients
Silver Falls Dermatology, LLC Physician Assistant PastSince Apr 1, 2021 Accepting new patients
Silver Falls Dermatology, LLC Past Accepting new patients
Cascade Eye & Skin Centers PC PastSince Mar 17, 2024 Accepting new patients
Steven E Krause, MD LTD PastSince Sep 12, 2021 Accepting new patients

Locations

3950 Gs Richards Blvd
Carson City, NV 89703
Phone (775) 283-4080

3640 Warren Way
Ste 100
Reno, NV 89509

640 W Moana Ln
Reno, NV 89509
Phone (775) 882-8777

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1306174024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111004",
            "telephone_number": "775-332-0300",
            "fax_number": "775-332-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111004",
            "telephone_number": "775-332-0300",
            "fax_number": "775-332-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLEEN",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LARSON AND BAUMBACH",
            "middle_name": "ELIZABETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.