Active NPI
Erica Kristina Stiles, PA-C
- Surgical Physician Assistant
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA2393
- Practice address
- 3920 S Eastern Ave Ste 100
Las Vegas, NV 89119-5171 - Phone
- (702) 759-8779
- NPI assigned
- Dec 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Surgical Physician Assistant | 363AS0400X | PA2393 | NV | Primary |
Addresses
Primary practice location
3920 S Eastern Ave Ste 100
Las Vegas, NV 89119-5171
Mailing address
2020 Palomino LN Ste 100
Las Vegas, NV 89106-4894
Phone (702) 759-8779
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OIHnv.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 E 5TH Ave
Spokane, WA 99202-1334
311 S L St
Tacoma, WA 98405-3720
400 E 5TH Ave
Spokane, WA 99202-1334
Phone (509) 838-2531
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Deaconess Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
Organizations & group practices 3
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Community/Behavioral Health Agency
- Auburn, WA
- NPI 1861872178
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1407442890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 PALOMINO LN STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064894",
"telephone_number": "702-759-8779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 S EASTERN AVE STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195171",
"telephone_number": "702-759-8779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILES",
"first_name": "ERICA",
"middle_name": "KRISTINA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-18",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NV",
"license": "PA2393",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OIHnv.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10561 Jeffreys St Ste 230",
"city": "Henderson",
"state": "NV",
"country_code": "US",
"postal_code": "890524268",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Las Vegas, NV
- Tiffany Baxter Stifter, MA, MFT
- Flora Mae Stiggle
- Daisy Margaret Stikovac, M.D.
- Frank Louis Stile, MD
- Jollene Stiles-Bradsher, LCSW
- Tami Michelle Stiles
- Still Standing,Inc
- Still Waters Behavioral Health and Family Services
- Still Waters Behavioral Health and Family Services
- Jonathan George Still, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.