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

Danielle Kovaltchouk West, PA-C

Individual provider Physician Assistant · NPI 1346008489

Danielle Kovaltchouk West, PA-C is a Physician Assistant in Sparks, Nevada. Graduated from Drexel University College of Medicine in 2023, 3 years ago. Practices with Northern Nevada Medical Group LLC, a 87-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
3
Trained at
Drexel University College of Medicine
Licensed in
CA, NV
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2385 E Prater Way Ste 205
Sparks, NV 89434-9688
Phone: (775) 356-4888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3030 (NV)
Physician Assistant Taxonomy 363A00000X · Licence 64231 (CA)

Record details

NPI number1346008489
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 12, 2024
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing address6850 Sharlands Ave Unit C2010, Reno, NV 89523-2770

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Northern Nevada Medical Group Llc — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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