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CARLEY JOHNAH DYKSTRA PA-C
NPI 1699300087
Physician Assistant in Saint Louis, MO

Active since March 06, 2020PECOS Enrolled
54.72/100
CMS Quality Rating
9556 MANCHESTER RD, SAINT LOUIS, MO 63119(314) 961-2295 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carley Johnah Dykstra Pa-c NPPES

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

CARLEY JOHNAH DYKSTRA PA-C (NPI 1699300087) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2020000655) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699300087
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLEY JOHNAH DYKSTRACredential: PA-C
Location Address9556 MANCHESTER RDSaint Louis, MO 63119-1313
Mailing Address103 Applegate Ln Apt CBallwin, MO 63011-3225 · (248) 904-5173
Phone(314) 961-2295
Sole ProprietorNo
Enumeration DateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1699300087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2020000655
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.
9556 MANCHESTER RD, Saint Louis, MO 63119
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Other Names 1

Former Name (1)Carley Johnah Serowoky

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carley Johnah Dykstra Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 63119 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

54.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.43
Promoting Interoperability0
Improvement Activities40
Cost84.97

Other Providers at the Same Location NPPES 20

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

KRISTEN EMILY POLITO PA-C
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 373-5740
TAYLOR KRISTEN DELMAIN PHYSICIAN ASSISTANT
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 373-5740
SHANNON ELYSE STEWART PA-C
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 961-2255
AARON W GUTHRIE MD
Family Medicine
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 373-5740
MR. STEVEN NATHAN SILVESTAIN PA-C
Physician Assistant (Medical)
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 373-5740
MR. CHRISTIAN MAX HOOGHEEM
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 961-2255
JOSEPH F KARRE D.O
Emergency Medicine
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 961-2255
MR. MARTIN J CLARKE PA
Physician Assistant
9556 MANCHESTER RD
SAINT LOUIS, MO 63119
St. Louis County (314) 373-5740

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 Carley Dykstra's NPI number?

The NPI number for Carley Dykstra is 1699300087. It was assigned to this individual provider in the NPPES registry on March 6, 2020. The provider is also known as Carley Johnah Serowoky.

Where is Carley Dykstra located?

Carley Dykstra practices at 9556 Manchester Rd, Saint Louis, MO 63119. The listed phone number is (314) 961-2295.

What is Carley Dykstra's specialty?

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

Is Carley Dykstra enrolled in Medicare?

Yes. Carley Dykstra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carley Dykstra was last updated on March 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.