Carolyn A. Dechaine, PA - C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA776 Issued in NV

Practice address

915 S Rainbow Blvd
Las Vegas, NV 89145-6230

Phone

(725) 220-8667

Fax

(833) 749-0353

NPI assigned

Jun 28, 2005

Last updated

Feb 12, 2026By 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 1

Addresses

Other identifiers 1

Electronic endpoints 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

University of Nebraska College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centerwell Senior Primary Care NV P CGroup PAC ID 5092132340, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carolyn.dechaine.1@29601.direct.athenahealth.com
• Direct secure messaging: carolyn.dechaine@centerwell.eclinicaldirectplus.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.

• Centerwell Senior Primary Care NV P C

  dba CenterWell Senior Primary Care-Spring Valley

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1285257667
  Medicare reassignment Care Compare group
• Bacchus PC

  dba P3 Health Partners Medical Group

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1134628480
  Medicare reassignment
• Centerwell Senior Primary Care (NV) PC

  dba CenterWell Senior Primary Care-Green Valley

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1053029488
  NPD
• Centerwell Senior Primary Care (NV) PC

  dba CenterWell Senior Primary Care - South Rainbow

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1770106155
  NPD
• Centerwell Senior Primary Care (NV) PC

  dba CenterWell Senior Primary Care -Fremont Street

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1083237465
  NPD (past)
• Centerwell Senior Primary Care NV P C

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1104449560
  NPD (past)
• P3 Medical Group PC

  • Family Medicine Physician
  • Salem, OR
  • NPI 1689266926

  Physician Assistant

  NPD (past)
• Robert E Mutterperl DO SC

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1326286915
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1649276254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000",
            "fax_number": "843-277-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456230",
            "telephone_number": "725-220-8667",
            "fax_number": "833-749-0353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 12th St SE Ste 260",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973022282",
            "country_code": "US",
            "telephone_number": "971-701-9058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3369 NE Stephens St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974701200",
            "country_code": "US",
            "telephone_number": "541-677-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5255 E Williams Cir Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857117407",
            "country_code": "US",
            "telephone_number": "520-392-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "272 NW Medical Loop Ste B",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974715545",
            "country_code": "US",
            "telephone_number": "541-537-8007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "653 N Town Center Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89144",
            "country_code": "US",
            "telephone_number": "702-844-4842",
            "fax_number": "702-284-4484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECHAINE",
        "first_name": "CAROLYN",
        "middle_name": "A.",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649276254",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carolyn.dechaine.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "915 S Rainbow Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891456230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.