Elvis R. Sierra, PA
Physician Assistant in Mechanicsville, VA. Individual provider (NPI-1).
NPI number1508065764
StatusActive
Last updated in NPPESSep 9, 2024
Details
- NPI
- 1508065764
- Entity type
- Individual (NPI-1)
- Name
- Mr. Elvis R. Sierra
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2007
- Certification date
- Sep 9, 2024
- Last updated
- Sep 9, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110002708 | VA | Yes |
| 363AM0700X | Physician Assistant, Medical | – | – |
Practice location
6501 Mechanicsville Tpke Ste G1Mechanicsville, VA 23111-3698
Phone 804-522-1501 · Fax 804-522-1502
Mailing address
8005 Creighton PkwySuite C, #132
Mechanicsville, VA 23111-4594
Phone 804-522-1501 · Fax 804-522-1502
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 34 Physician Assistant providers in Mechanicsville · All 2,033 providers in Mechanicsville
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