Krista Courtney Dizon Dacasin, MSN, APRN-CNP, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95025802 Issued in CA

Practice address

9890 Cape Verde Dr
Elk Grove, CA 95757-6329

Phone

(661) 742-8579

NPI assigned

Oct 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, CA2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ming-Wei Wu IncGroup PAC ID 4284726159, 38 clinicians

Sharwin Tafazoli IncGroup PAC ID 8729416953, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdacasin176723@hpmg.direct-ci.net

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.

• Ming-Wei Wu, Inc

  dba Professional Wound Specialists

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1699975144

  CA

  Medicare reassignment Care Compare group NPD
• Infectious Disease Associates

  • Infectious Disease Physician
  • Las Vegas, NV
  • NPI 1386721157
  Medicare reassignment NPD
• Professional Wound Specialists PC

  • Surgery Physician
  • Pomona, CA
  • NPI 1437988326
  Medicare reassignment
• Sharwin Tafazoli Inc

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
  • NPI 1447806278
  Care Compare group

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1396343570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890 CAPE VERDE DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576329",
            "telephone_number": "661-932-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 CAPE VERDE DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576329",
            "telephone_number": "661-742-8579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6088 S Durango Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891131780",
            "country_code": "US",
            "telephone_number": "702-209-0388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACASIN",
        "first_name": "KRISTA COURTNEY",
        "middle_name": "DIZON",
        "credential": "MSN, APRN-CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-11",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "832576",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D&C Specializes Care Inc
• D12 Care Services LLC (Nurse Next Door Napa Valley CA)
• Roopreet Kaur Dab
• Ezekiel Dabay
• Dion Dacasin, PHARMD
• Raffie Villanueva Dacasin, BSN, MSN, APRN, NP-C
• Rachel Quinn Daharsh
• Marcus N Dahlstrom, M.D.
• Dai Le Dental Corporation (Laguna Children's Dental Care)
• Olivia Dalbert

• Nurse Practitioner in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.