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KAISA LYN DODGE PA
NPI 1992485643
Physician Assistant in Apple Valley, CA

Active since July 18, 2023PECOS Enrolled
18300 US HIGHWAY 18, APPLE VALLEY, CA 92307(760) 242-2311 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2024, Jul 18, 2023 (2 updates tracked since 2023).

About Kaisa Lyn Dodge Pa NPPES

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

KAISA LYN DODGE PA (NPI 1992485643) is an individual physician assistant in Apple Valley, California, licensed in California (63525) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992485643
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAISA LYN DODGECredential: PA
Location Address18300 US HIGHWAY 18Apple Valley, CA 92307-2206
Mailing Address309 E 2nd StPomona, CA 91766-1854
Phone(760) 242-2311
Sole ProprietorNo
Enumeration DateJuly 18, 2023
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1992485643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 63525
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
18300 US HIGHWAY 18, Apple Valley, CA 92307
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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)

Kaisa Lyn Dodge Pa 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
179 services173 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
77 services75 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92307 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 20

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

ROBERT CRAIG ANDERSON CRNA
Nurse Anesthetist, Certified Registered
18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 242-2311
MELINDA D. LABUGUEN, MD INC.
Pathology (Anatomic Pathology & Clinical Pathology)
18300 US HIGHWAY 18, PATHOLOGY DEPARTMENT
APPLE VALLEY, CA 92307
San Bernardino County (760) 946-8873
ASHWIN JAYAKUMAR DO
Student in an Organized Health Care Education/Training Program
18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 242-2311
JONATHAN PORTILLO AGACNP-BC
Nurse Practitioner (Acute Care)
18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 242-2311
NADIA C MIHALJCIC CRNA
Nurse Anesthetist, Certified Registered
18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 946-8736
ELIZABETH ESPINOZA
Nurse Practitioner (Family)
18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 242-2311
ASHLEY MARIE RUGGE PA-C
Physician Assistant
18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 946-8150
LORI ASHKINE BSN
Registered Nurse
18300 US HIGHWAY 18
APPLE VALLEY, CA 92307
San Bernardino County (760) 242-2311

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 Kaisa Dodge's NPI number?

The NPI number for Kaisa Dodge is 1992485643. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Kaisa Dodge located?

Kaisa Dodge practices at 18300 Us Highway 18, Apple Valley, CA 92307. The listed phone number is (760) 242-2311.

What is Kaisa Dodge's specialty?

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

Is Kaisa Dodge enrolled in Medicare?

Yes. Kaisa Dodge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaisa Dodge was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.