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KARISSA BUSTAMANTE COATES PA
NPI 1649012386
Physician Assistant in Glendale, AZ

Active since June 12, 2024PECOS EnrolledAccepts Medicare Assignment
11851 N 51ST AVE STE B110, GLENDALE, AZ 85304(480) 882-4545(623) 207-7410 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Aug 16, 2024, Jun 12, 2024 (3 updates tracked since 2024).

About Karissa Bustamante Coates Pa NPPES

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

KARISSA BUSTAMANTE COATES PA (NPI 1649012386) is an individual physician assistant in Glendale, Arizona and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2024).

NPPES Registry Identity

NPI1649012386
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKARISSA BUSTAMANTE COATESCredential: PA
Location Address11851 N 51ST AVE STE B110Glendale, AZ 85304-2823
Mailing Address7500 N Dreamy Draw Dr Ste 145Phoenix, AZ 85020-4668 · (480) 882-4545 · Fax (602) 490-0499
Phone(480) 882-4545
Fax(623) 207-7410
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2024
Enumeration DateJune 12, 2024
Last NPPES UpdateJune 23, 20253 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1649012386 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.
11851 N 51ST AVE STE B110, Glendale, AZ 85304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karissa Bustamante Coates Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204371156
PECOS Enrollment IDI20240716000268
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85304 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 16

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

AMANDA RASCON
Nurse Practitioner (Family)
11851 N 51ST AVE STE B110
GLENDALE, AZ 85304
Maricopa County (480) 882-4545
JEFFREY S JIRAK LPC, LISAC
Counselor (Mental Health)
11851 N 51ST AVE STE B110
GLENDALE, AZ 85304
Maricopa County (480) 882-4545
ANNIE DODT RDN
Dietitian, Registered
11851 N 51ST AVE STE B110
GLENDALE, AZ 85304
Maricopa County (480) 882-4545
KARA GREEN MSN, FNP-BC
Nurse Practitioner (Family)
11851 N 51ST AVE STE B110
GLENDALE, AZ 85304
Maricopa County (480) 882-4545
KAYLEE DE TRANALTES MD
Family Medicine
11851 N 51ST AVE STE B110
GLENDALE, AZ 85304
Maricopa County (480) 882-4545
CARALINE RISINGER PA-C
Physician Assistant
11851 N 51ST AVE STE B110
GLENDALE, AZ 85304
Maricopa County (480) 882-4545
RUTH MONTOYA PA-C
Physician Assistant
11851 N 51ST AVE STE B110
GLENDALE, AZ 85304
Maricopa County (480) 882-4545
NOEL UGARTE RD
Dietitian, Registered
11851 N 51ST AVE STE B110
GLENDALE, AZ 85304
Maricopa County (480) 882-4545

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 Karissa Coates's NPI number?

The NPI number for Karissa Coates is 1649012386. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Karissa Coates located?

Karissa Coates practices at 11851 N 51st Ave Ste B110, Glendale, AZ 85304. The listed phone number is (480) 882-4545.

What is Karissa Coates's specialty?

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

Is Karissa Coates enrolled in Medicare?

Yes. Karissa Coates is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karissa Coates accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Karissa Coates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karissa Coates was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.