STEPHANIE RAE DASTRUP PA-C
NPI 1760716419
Physician Assistant in Las Vegas, NV

Q: What is Stephanie Dastrup's NPI number?

The NPI number for Stephanie Dastrup is 1760716419. It was assigned to this individual provider in the NPPES registry on September 29, 2009.

Q: What is Stephanie Dastrup's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephanie Dastrup was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 29, 2009PECOS EnrolledAccepts Medicare Assignment

2880 N TENAYA WAY STE 420, LAS VEGAS, NV 89128(702) 255-2022(702) 255-8810 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stephanie Rae Dastrup Pa-c NPPES

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

STEPHANIE RAE DASTRUP PA-C (NPI 1760716419) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA1181) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1760716419

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSTEPHANIE RAE DASTRUPCredential: PA-C

Location Address2880 N TENAYA WAY STE 420Las Vegas, NV 89128-0642

Mailing Address8906 Spanish Ridge Ave Ste 202Las Vegas, NV 89148-1319 · (702) 330-3102 · Fax (702) 912-4994

Phone(702) 255-2022

Fax(702) 255-8810

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateSeptember 29, 2009

Last NPPES UpdateOctober 12, 2020

NPPES CertifiedOctober 12, 2020

✔ NPI 1760716419 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 NV · PA1181

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.

2880 N TENAYA WAY STE 420, Las Vegas, NV 89128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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

Stephanie Rae Dastrup Pa-c 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 ID2860771102

PECOS Enrollment IDI20161109001830

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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

22 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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.

Reported Quality Measures

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

21%1,361 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

JENNIFER WONG

Obstetrics & Gynecology