Individual provider Active NPI

Cynthie Michelle Kiefer, P.A.

  • Medical Physician Assistant
  • Reno, NV
National Provider Identifier
1639327307
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1582 Issued in NV
Practice address
6580 S McCarran Blvd Ste C
Reno, NV 89509-6140
Phone
(775) 440-1500
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1582 NV Primary

Addresses

Primary practice location

6580 S McCarran Blvd Ste C
Reno, NV 89509-6140

Mailing address

6580 S McCarran Blvd Ste C
Reno, NV 89509-6140
Phone (775) 440-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NV2 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
I20090928000171 KS Practitioner - Physician Assistant 8426104811 Reassigns benefits to 1 organization
I20150325001223 NV Practitioner - Physician Assistant 8426104811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empower Rheumatology LLCGroup PAC ID 9032462288, 3 clinicians

Practice addresses (Care Compare)

Overland Park, KS 66223
Phone (913) 210-5400

14300 Metcalf Ave
Suite 101
Overland Park, KS 66223-2906
Phone (913) 210-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Rehab Center, LLC Past Accepting new patients

Organizations & group practices 4

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": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1639327307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 S MCCARRAN BLVD STE C",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096140",
            "telephone_number": "775-440-1500",
            "fax_number": "775-440-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 S MCCARRAN BLVD STE C",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096140",
            "telephone_number": "775-440-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFER",
        "first_name": "CYNTHIE",
        "middle_name": "MICHELLE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2023-06-20",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.