Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charissa M Barsos, NP

Individual provider Nurse Practitioner · NPI 1215309398

Charissa M Barsos, NP is a Nurse Practitioner in Lakeport, California. Qualified in 2023, 3 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Illinois.

Years since qualifying
3
Licensed in
CA, IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

925 Bevins Ct
Lakeport, CA 95453-9754
Phone: (707) 263-8382
Fax: (707) 263-5019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95011961 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 209013252 (IL)

Record details

NPI number1215309398
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 28, 2015
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022
Mailing address925 Bevins Ct, Lakeport, CA 95453-9754

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Lakeport