Individual provider Active NPI

Annika Stasa Chryssos, PA STUDENT

  • Physician Assistant
  • Dayton, NV
National Provider Identifier
1790476802
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3327 Issued in NV
Practice address
140 Avalanche Dr
Dayton, NV 89403-6383
Phone
(775) 450-6946
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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 PA3327 NV Primary

Addresses

Primary practice location

140 Avalanche Dr
Dayton, NV 89403-6383

Mailing address

140 Avalanche Dr
Dayton, NV 89403-6383
Phone (775) 450-6946

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
I20260410002499 NV Practitioner - Physician Assistant 4183199748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of Nevada LLPGroup PAC ID 5193616449, 15 clinicians

Practice addresses (Care Compare)

3475 GS Richards Blvd
Suite 130
Carson City, NV 89703-8462
Phone (775) 841-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3327NVMDPhysician Assistant

Organizations & group practices 1

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1790476802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 AVALANCHE DR",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894036383",
            "telephone_number": "775-450-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AVALANCHE DR",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894036383",
            "telephone_number": "775-450-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRYSSOS",
        "first_name": "ANNIKA",
        "middle_name": "STASA",
        "credential": "PA STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, NV

Sources for this page

Verify at the official NPI Registry.