Active NPI
Stefanie Caley, P.A.-C.
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1316375256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2670
- Practice address
- 4029 Dean Martin Dr
Las Vegas, NV 89103-4138 - Phone
- (702) 848-2256
- Fax
- (702) 485-6746
- NPI assigned
- Oct 30, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2670 | NV | Primary |
| Physician Assistant | 363A00000X | PA143083 | MT |
Addresses
Primary practice location
4029 Dean Martin Dr
Las Vegas, NV 89103-4138
Mailing address
2230 N. Reserve St
Ste 300, #1066
Missoula, MT 59808
Phone (406) 215-4251
Other practice location 1
855 S. Center Street
Ste 101
Reno, NV 89501
Phone (406) 215-4251
Other practice location 2
2230 N. Reserve St
Ste 300, #1066
Missoula, MT 59808
Phone (406) 215-4251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SKMOHRBACH | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4029 Dean Martin Dr
Las Vegas, NV 89103-4138
Phone (702) 848-2256
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA143083 | MT | MD | Physician Assistant |
| PA2670 | NV | MD | Physician Assistant |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1316375256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 N. RESERVE ST",
"address_2": "STE 300, #1066",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59808",
"telephone_number": "406-215-4251",
"fax_number": "406-221-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4029 DEAN MARTIN DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891034138",
"telephone_number": "702-848-2256",
"fax_number": "702-485-6746"
}
],
"practiceLocations": [
{
"address_1": "855 S. Center Street",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "89501",
"country_code": "US",
"telephone_number": "406-215-4251",
"fax_number": "406-221-5026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2230 N. Reserve St",
"address_2": "Ste 300, #1066",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "59808",
"country_code": "US",
"telephone_number": "406-215-4251",
"fax_number": "406-221-5026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALEY",
"first_name": "STEFANIE",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-30",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA2670",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "PA143083",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "SKMOHRBACH",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.