NPIMap

Individual provider Active NPI

Katrina Anne Fogel, PA.-C

  • Physician Assistant
  • Silver Springs, NV
National Provider Identifier
1871037663
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1794 Issued in NV
Practice address
3595 US Highway 50
Silver Springs, NV 89429-9613
Phone
(775) 982-5000
Fax
(775) 982-3900
NPI assigned
Dec 13, 2016
Last updated
May 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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 PA1794 NV Primary

Addresses

Primary practice location

3595 US Highway 50
Silver Springs, NV 89429-9613

Mailing address

665 Sierra Rose Dr
Reno, NV 89511-2060
Phone (775) 624-3382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228001182 NV Practitioner - Physician Assistant 5092099648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruncuso Holdings LLCGroup PAC ID 4789043449, 14 clinicians

Practice addresses (Care Compare)

123 W Nye LN
Suite 129
Carson City, NV 89706-0838
Phone (775) 376-5184

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bruncuso Holdings LLC CurrentSince Dec 16, 2025 Accepting new patients
Bruncuso Holdings Chapter Two LLC CurrentSince Dec 16, 2025 Accepting new patients

Locations

4705 E Carefree Hwy
Ste 131
Cave Creek, AZ 85331
Phone (480) 847-2273

123 W Nye Ln
Ste 129
Carson City, NV 89706
Phone (480) 847-2273

Interoperability endpoints

  • Direct secure messaging: kfogel682585@direct.med.utah.edu

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.

Hospital & facility affiliations 9

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": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1871037663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112060",
            "telephone_number": "775-624-3382",
            "fax_number": "775-786-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 US HIGHWAY 50",
            "city": "SILVER SPRINGS",
            "state": "NV",
            "postal_code": "894299613",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGEL",
        "first_name": "KATRINA",
        "middle_name": "ANNE",
        "credential": "PA.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Springs, NV

Sources for this page

Verify at the official NPI Registry.