Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Ann Dedominicis, PA-C

Individual provider Medical Physician Assistant · NPI 1750895322

Alyssa Ann Dedominicis, PA-C is a Physician Assistant in Carson City, Nevada. Qualified in 2017, 9 years ago. Practices with Carson Tahoe Physician Clinics, a 105-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
9
Licensed in
NV
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 2168
Carson City, NV 89702-2168
Phone: (775) 445-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1900 (NV)

Record details

NPI number1750895322
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 19, 2017
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Carson Tahoe Physician Clinics — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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