Individual provider Active NPI

Kelle Jo Aikin, PA-C

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1982860078
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1125 Issued in NV
Practice address
6940 Sierra Center Pkwy
Reno, NV 89511-2209
Phone
(775) 393-2200
Fax
(775) 851-1456
NPI assigned
Jul 29, 2008
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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 PA1125 NV Primary

Addresses

Primary practice location

6940 Sierra Center Pkwy
Reno, NV 89511-2209

Mailing address

PO Box 1194
Zephyr Cove, NV 89448-1194
Phone (752) 870-6527

Other practice location 1

1240 E 9th St
Reno, NV 89512-2964
Phone (775) 323-0478

Other identifiers 1

IdentifierTypeStateIssuer
11994056OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081222000204 NV Practitioner - Physician Assistant 1850453184 Reassigns benefits to 2 organizations
I20260203001292 IA Practitioner - Physician Assistant 1850453184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

1407 62ND St
Des Moines, IA 50311-1941
Phone (832) 869-4818

639 Isbell Rd
Suite 380
Reno, NV 89509-4982
Phone (832) 869-4818

6940 Sierra Ctr Pkwy
Reno, NV 89511-2209
Phone (832) 869-4818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Regional Medical Center Past Accepting new patients
Brown, Calvanese, Cameron LTD Past Accepting new patients
Provider Network, Inc Past Accepting new patients
Renown Urgent Care LLC Physician Assistant Past Accepting new patients
Psychplus Medical Associates of Michigan, PLLC Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1982860078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1194",
            "city": "ZEPHYR COVE",
            "state": "NV",
            "postal_code": "894481194",
            "telephone_number": "752-870-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 SIERRA CENTER PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112209",
            "telephone_number": "775-393-2200",
            "fax_number": "775-851-1456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 E 9th St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895122964",
            "country_code": "US",
            "telephone_number": "775-323-0478",
            "fax_number": "775-789-4437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AIKIN",
        "first_name": "KELLE",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11994056",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.