Individual provider Active NPI

Kara Nicole Hays, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1669988077
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1907 Issued in NV
Practice address
630 Sierra Rose Dr Ste 1a
Reno, NV 89511-4011
Phone
(775) 433-1207
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1907 NV Primary

Addresses

Primary practice location

630 Sierra Rose Dr Ste 1a
Reno, NV 89511-4011

Mailing address

630 Sierra Rose Dr Ste 1a
Reno, NV 89511-4011
Phone (775) 334-1207

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180316002459 NV Practitioner - Physician Assistant 7810259553 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eds-I Homansky Practices of Nevada PC Physician Assistant CurrentSince Jan 13, 2021 Accepting new patients
Amh Series II NV, LLC Past Accepting new patients

Locations

360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Interoperability endpoints

  • Direct secure messaging: kara.hays.p1@direct.smmg.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1669988077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SIERRA ROSE DR STE 1A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114011",
            "telephone_number": "775-334-1207",
            "fax_number": "775-433-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SIERRA ROSE DR STE 1A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114011",
            "telephone_number": "775-433-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYS",
        "first_name": "KARA",
        "middle_name": "NICOLE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.