CARLEY JOHNAH DYKSTRA PA-C NPI 1699300087

NPI Information

  • NPI: 1699300087
  • Provider Name: CARLEY JOHNAH DYKSTRA, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9556 MANCHESTER RD
    SAINT LOUIS, MO
    ZIP 63119
  • Phone: (314) 961-2295

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NPI Details

Carley Johnah Dykstra, PA-C is a physician assistant in Saint Louis, MO with 6 years of experience. The provider is 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. Carley Johnah Dykstra, PA-C NPI is 1699300087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9556 MANCHESTER RD
SAINT LOUIS, MO
ZIP 63119-313
Phone: (314) 961-2295

The NPI 1699300087 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Urinalysis, manual test (HCPCS:81002)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Infusion, normal saline solution , 1000 cc (HCPCS:J7030)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) (HCPCS:80051)
  • Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
  • Blood creatinine level (HCPCS:82565)
  • Urea nitrogen level to assess kidney function, quantitative (HCPCS:84520)
  • Infusion into a vein for hydration, each additional hour (HCPCS:96361)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Albumin (protein) level (HCPCS:82040)
  • Amylase (enzyme) level (HCPCS:82150)
  • Bilirubin level, total (HCPCS:82247)
  • Liver enzyme (sgot), level (HCPCS:84450)
  • Liver enzyme (sgpt), level (HCPCS:84460)
  • Phosphatase (enzyme) level, alkaline (HCPCS:84075)
  • Total protein level, blood (HCPCS:84155)
  • Administration of vaccine (HCPCS:90471)
  • Infusion into a vein for hydration, 31-60 minutes (HCPCS:96360)
  • Blood count, hemoglobin (HCPCS:85018)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Blood test, basic group of blood chemicals (calcium, ionized) (HCPCS:80047)
  • Diphtheria and tetanus vaccine (7 years or older) (HCPCS:90714)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Blood glucose (sugar) level (HCPCS:82947)

The enumeration date for this NPI number is 3/6/2020 and was last updated on 3/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant2020000655MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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