Individual provider Active NPI

Carrissia Feaster, APRN CNM, FNP-C

  • Women's Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1740695352
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
812770 Issued in NV
Practice address
975 Ryland St Ste 105
Reno, NV 89502-1668
Phone
(775) 982-5640
Fax
(775) 982-5641
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 812770 NV Primary
Advanced Practice Midwife 367A00000X 812770 NV

Addresses

Primary practice location

975 Ryland St Ste 105
Reno, NV 89502-1668

Mailing address

1155 Mill St # McM14
Reno, NV 89502-1576
Phone (775) 982-5262

Other names 1

  • Carrissia Holloway Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181221002095 NV Practitioner - Certified Nurse Midwife (CNM) 1355560640 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vega Healthcare PLLCGroup PAC ID 4486060555, 5 clinicians

Practice addresses (Care Compare)

3773 Baker LN
Suite 6
Reno, NV 89509-5490
Phone (775) 799-6700

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
812770NVMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homebase Care Casal PLLC CurrentSince Oct 1, 2019 Accepting new patients
Community Care Services LLC CurrentSince Nov 1, 2018 Accepting new patients
Vega Healthcare PLLC CurrentSince Nov 21, 2022 Accepting new patients
Renown Transitional Care Services CurrentSince Sep 3, 2023 Accepting new patients
Medtrans Medical Nevada Casal PLLC Current Accepting new patients
Community Care Services LLC Nurse Practitioner CurrentSince Nov 1, 2018 Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Locations

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

5412 Boulder Hwy
Las Vegas, NV 89122

1155 Mill St
#14
Reno, NV 89502

850 Harvard Way
Reno, NV 89502

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1500 E 2nd St
Ste 203
Reno, NV 89502
Phone (775) 829-0573

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

901 E 2nd St
Ste 300
Reno, NV 89502
Phone (775) 982-5640

975 Ryland St
Ste 105
Reno, NV 89502
Phone (775) 982-5640

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

3773 Baker Ln
Ste 6
Reno, NV 89509
Phone (775) 799-6700

10085 Double R Blvd
Ste 120
Reno, NV 89521
Phone (775) 982-4910

Interoperability endpoints

  • Direct secure messaging: cholloway145101@direct.renown.org

Organizations & group practices 7

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740695352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MCM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 RYLAND ST STE 105",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021668",
            "telephone_number": "775-982-5640",
            "fax_number": "775-982-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEASTER",
        "first_name": "CARRISSIA",
        "credential": "APRN CNM, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NV",
            "license": "812770",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "812770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRISSIA",
            "last_name": "HOLLOWAY",
            "credential": "APRN CNM, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.