Individual provider Active NPI

Alyssa Ann Dedominicis, PA-C

  • Medical Physician Assistant
  • Carson City, NV
National Provider Identifier
1750895322
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1900 Issued in NV
Practice address
PO Box 2168
Carson City, NV 89702-2168
Phone
(775) 445-8000
NPI assigned
Nov 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 PA1900 NV Primary

Addresses

Primary practice location

PO Box 2168
Carson City, NV 89702-2168

Mailing address

PO Box 2168
Carson City, NV 89702-2168
Phone (775) 445-8000

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
I20180201002948 NV Practitioner - Physician Assistant 2365702826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Tahoe Physician ClinicsGroup PAC ID 1153479027, 104 clinicians
CTH Physicians ClinicGroup PAC ID 1254787203, 107 clinicians

Practice addresses (Care Compare)

775 Fleischmann Way
FL 2
Carson City, NV 89703-2995
Phone (775) 445-7756

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Reno, NV, CCN 297022
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CTH Physicians Clinic CurrentSince Dec 1, 2025 Accepting new patients

Locations

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

775 Fleischmann Way
Carson City, NV 89703
Phone (775) 445-5632

775 Fleischmann Way
Fl 2
Carson City, NV 89703
Phone (775) 445-5632

901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630

570 S Maine St
Fallon, NV 89406
Phone (775) 423-9511

10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1750895322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897022168",
            "telephone_number": "775-445-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897022168",
            "telephone_number": "775-445-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDOMINICIS",
        "first_name": "ALYSSA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-19",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.