Kristie L Coarasa, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1148 Issued in NV

Practice address

653 N Town Center Dr Ste 210
Las Vegas, NV 89144-0516

Phone

(702) 254-3020

Fax

(702) 255-2620

NPI assigned

Oct 23, 2007

Last updated

Nov 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William S Muir MD LTDGroup PAC ID 3779675384, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kristie.coarasa@5193.chartlogic.direct-ci.com

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.

• William S Muir MD LTD

  dba William S Muir MD Spine Surgery

  • Orthopaedic Surgery of the Spine Physician
  • Las Vegas, NV
  • NPI 1255658019
  Medicare reassignment Care Compare group
• Coppel Medical Enterprise LLC

  dba Nevada Comprehensive PainCenter

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1184957268
  Medicare reassignment
• Spring Valley Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1346230323
  NPD (past)
• Summerlin Hospital Medical Center L L C

  dba Summerlin Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1467641647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440516",
            "telephone_number": "702-254-3020",
            "fax_number": "702-255-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440516",
            "telephone_number": "702-254-3020",
            "fax_number": "702-255-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COARASA",
        "first_name": "KRISTIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1148",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA1148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BK848Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Co, DO
• Bang Co
• Monica April Usi Co, APRN, FNP-BC, AMB-BC
• Frederick Coakley
• Luz Maria Coana Perez
• Coast Dental of Nevada Inc
• Coast Dental of Nevada Inc.
• Coast Dental of Nevada Inc.
• Dale Coates
• Jay E Coates Jr.

• Medical Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.