Active NPI
Keypher Steffanich, PA-C
- Surgical Physician Assistant
- Reno, NV
National Provider Identifier
1457232001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA3417
- Practice address
- 9480 Double Diamond Pkwy Ste 200
Reno, NV 89521-5842 - Phone
- (775) 348-8800
- Fax
- (480) 499-8459
- NPI assigned
- Sep 10, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3417 | NV | |
| Surgical Physician Assistant | 363AS0400X | PA3417 | NV | Primary |
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
9480 Double Diamond Pkwy Ste 200
Reno, NV 89521-5842
Mailing address
5310 Kietzke LN Ste 104
Reno, NV 89511-2043
Phone (775) 348-8800
Other practice location 1
1470 Medical Pkwy Ste 220
Carson City, NV 89703-4636
Phone (775) 348-8800
Other practice location 2
780 Vista Blvd Ste 100
Sparks, NV 89434-6677
Phone (775) 348-8800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
973 Mica Dr
Suite 201
Carson City, NV 89705-7258
Phone (775) 783-6190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3417 | 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.
-
- Specialist
- Reno, NV
- NPI 1285649608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1457232001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 KIETZKE LN STE 104",
"city": "RENO",
"state": "NV",
"postal_code": "895112043",
"telephone_number": "775-348-8800",
"fax_number": "833-687-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9480 DOUBLE DIAMOND PKWY STE 200",
"city": "RENO",
"state": "NV",
"postal_code": "895215842",
"telephone_number": "775-348-8800",
"fax_number": "480-499-8459"
}
],
"practiceLocations": [
{
"address_1": "1470 Medical Pkwy Ste 220",
"address_purpose": "LOCATION",
"city": "Carson City",
"state": "NV",
"postal_code": "897034636",
"country_code": "US",
"telephone_number": "775-348-8800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "780 Vista Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Sparks",
"state": "NV",
"postal_code": "894346677",
"country_code": "US",
"telephone_number": "775-348-8800",
"fax_number": "480-499-8459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEFFANICH",
"first_name": "KEYPHER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-10",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA3417",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NV",
"license": "PA3417",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.