Daniel Kreun, P.A.C.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA668 Issued in NV

Practice address

861 Coronado Center Dr
Suite 200
Henderson, NV 89052-3992

Phone

(702) 896-0940

Fax

(702) 896-6173

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duke Forage Anson Neurosurgical LLPGroup PAC ID 3375676513, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
• Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as group

Quality

95.07

Promoting interoperability

96

Improvement activities

40

Cost

70.93

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Duke Forage Anson Neurosurgical LLP

  • Neurological Surgery Physician
  • Henderson, NV
  • NPI 1194055442
  Medicare reassignment Care Compare group NPD
• Agata-Venger Partnership

  • Neurological Surgery Physician
  • Las Vegas, NV
  • NPI 1093772204
  NPD (past)

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

• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  Care Compare affiliation
• Southern Hills Medical Center, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1457306359
  Care Compare affiliation

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1972560175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891935306",
            "telephone_number": "702-948-8897",
            "fax_number": "702-549-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 CORONADO CENTER DR",
            "address_2": "SUITE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523992",
            "telephone_number": "702-896-0940",
            "fax_number": "702-896-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUN",
        "first_name": "DANIEL",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "978257",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972560175",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00297291",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilia Kowalski
• Paige N Kozlowski, DO
• Michael John Kramer, MD
• Deana Louise Kramp
• Amanda Kreipl
• Ray Kriegh
• Allison Jean Krippene
• Claudia M Krispel, M.D.
• Libby K Kristal, MD
• Kristen L. Beling, D.D.S., William J. Dougherty, D.M.D., P.C

• Surgical Physician Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Surgical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.