Individual provider Active NPI

Levi Scott Hongsermeier, PA

  • Physician Assistant
  • Redding, CA
National Provider Identifier
1700461639
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2891 Churn Creek Rd Ste a
Redding, CA 96002-1148
Phone
(530) 221-7474
NPI assigned
Mar 11, 2021
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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 Primary

Addresses

Primary practice location

2891 Churn Creek Rd Ste a
Redding, CA 96002-1148

Mailing address

2840 Central Ave
Dubuque, IA 52001-1949
Phone (815) 299-7574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230626001409 CA Practitioner - Physician Assistant 4981062874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Native American Mental Health Services CorporationGroup PAC ID 5395072490, 62 clinicians

Practice addresses (Care Compare)

1742 Oregon St
Redding, CA 96001-1717
Phone (530) 646-7269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59429CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Andrews MD Inc CurrentSince Mar 1, 2021 Accepting new patients

Locations

2891 Churn Creek Rd
Redding, CA 96002
Phone (530) 221-6306

2891 Churn Creek Rd
Ste A
Redding, CA 96002
Phone (530) 221-7474

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1700461639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 CENTRAL AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520011949",
            "telephone_number": "815-299-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 CHURN CREEK RD STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021148",
            "telephone_number": "530-221-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONGSERMEIER",
        "first_name": "LEVI",
        "middle_name": "SCOTT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.