Individual provider Active NPI

Stefanie Caley, P.A.-C.

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1316375256
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2670 Issued in NV
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

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SKMOHRBACHOtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140805001758 NV Practitioner - Physician Assistant 0244457844 Reassigns benefits to 1 organization
I20250630002401 MT Practitioner - Physician Assistant 0244457844 Reassigns benefits to 1 organization

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
Anywhere Clinic LLCGroup PAC ID 4183996317, 32 clinicians

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

LicenseStateTypeSpecialty
PA143083MTMDPhysician Assistant
PA2670NVMDPhysician 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

Verify at the official NPI Registry.