Mandy Carol Coulsey, PA
Individual provider Active NPI Medical Physician Assistant · Minden, NV
NPI 1821769993 · NPPES record last updated Sep 27, 2021
Key facts
- NPI
- 1821769993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 1649 Lucerne St
Minden, NV 89423-4369 - Phone
- (775) 782-1603
- NPI assigned
- Sep 27, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountainview Medical Associates
CTH Physicians Clinic
Practice addresses (Care Compare)
1701 County Rd H
Minden, NV 89423-4465
Phone (775) 782-3933
2874 N Carson St
Suite 200
Carson City, NV 89706-1682
Phone (775) 445-7170
Hospital & facility affiliations
- Carson Valley Health
- Carson Tahoe Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.42 of 100
- Quality
- 93.48
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211201002415 | NV | Practitioner - Physician Assistant | 2264822436 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Interoperability endpoints
- mcoulsey174157@direct.renown.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NV | Yes |
Addresses
Primary practice location
1649 Lucerne St
Minden, NV 89423-4369
Mailing address
5240 Denning Ave
Iona, ID 83427-5100
Phone (208) 243-3612
Other providers in Minden, NV
- Michelle Collazo
- Comfort Care Dentistry Management LLC
- Brittany Corbridge
- Brian Corley
- Gerald L Cottrell
- Cara Coy
- Nicholas Cunningham
- Timothy D'Ambrosio
- Ashwin T Datt
- David S Hoskins MD, LTD
All providers in Minden, NV · Medical Physician Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.