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CHARIS FASOLDT PA
NPI 1447943667
Physician Assistant in San Francisco, CA

Active since June 01, 2023PECOS Enrolled
77 VAN NESS AVE APT 302, SAN FRANCISCO, CA 94102(415) 379-9015 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charis Fasoldt Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARIS FASOLDT PA (NPI 1447943667) is an individual physician assistant in San Francisco, California and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1447943667
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHARIS FASOLDTCredential: PA
Location Address77 VAN NESS AVE APT 302San Francisco, CA 94102-6042
Mailing Address147 Marlborough RdRochester, NY 14619-1409 · (585) 775-6378
Phone(415) 379-9015
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1447943667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
77 VAN NESS AVE APT 302, San Francisco, CA 94102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charis Fasoldt Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002278744
PECOS Enrollment IDI20230814000710
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEATA JARON PA-C
Physician Assistant (Surgical)
77 VAN NESS AVE APT 302
SAN FRANCISCO, CA 94102
San Francisco County (415) 379-9015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charis Fasoldt's NPI number?

The NPI number for Charis Fasoldt is 1447943667. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Charis Fasoldt located?

Charis Fasoldt practices at 77 Van Ness Ave Apt 302, San Francisco, CA 94102. The listed phone number is (415) 379-9015.

What is Charis Fasoldt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Charis Fasoldt enrolled in Medicare?

Yes. Charis Fasoldt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charis Fasoldt was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.