Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063815017 Individual Practitioner Female Practitioner

Carissa Lynn Pardekooper , PA-C

Physician Assistant • Hampton, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carissa Pardekooper, PA-C is a certified Physician Assistant practicing in Hampton, VA. With approximately 12 years of clinical experience since completing medical education in 2014, Carissa Pardekooper delivers high-quality medical care to the local community at 2240 COLISEUM DR STE D.

Carissa Pardekooper is affiliated with Chang Skin Surgery Center Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2240 Coliseum Dr Ste D

Hampton, VA 236665903

Telephone 8883217170
Associated Practice Facility / Clinic
🏢 Cutisco Llc Facility NPI 1427873736

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hampton, VA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +3.8 yrs vs City Avg
City Avg: 8.2 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
75 Specialists

Practicing in Hampton, VA (4432 Statewide)

Telehealth Adoption Rate
16.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pardekooper (12 Years) 12 Yrs
Hampton Specialty Average (8.2 Years) 8.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
20 20 $1118.21 $102.76

Medical Specialties & State Licenses

CMS Verified: 2026-06-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110008037

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IL 085005227

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License None 081387

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.

Hospital & Practice Group Affiliations

Chang Skin Surgery Center Llc

2117 General Booth Blvd, Virginia Beach, VA 234545803

Phone: 7576898183

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Richard Manning , FNP-C

Nurse Practitioner - Family

NPI 1316838840

Family Nurse Practitioner (Certified)

NPI 1487115176

Doctor of Medicine (M.D.)

NPI 1932582467

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location June 07, 2026

Registered at 2240 COLISEUM DR STE D, HAMPTON, VA 236665903 (Tel: 8883217170)

📍
Updated Business Mailing Address June 07, 2026

Registered at 1706 TODDS LN STE 310, HAMPTON, VA 236663123 (Tel: 8883217170)

📍
Updated Practice Location July 18, 2025

Registered at 2117 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 234545803 (Tel: 7576898183)

📍
Updated Business Mailing Address July 18, 2025

Registered at 2117 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 234545803 (Tel: 7576898183)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2024

Physician Assistant (License #085005227 in IL)

📍
Updated Practice Location September 21, 2021

Registered at 850 KEMPSVILLE RD STE 100D, NORFOLK, VA 235023920 (Tel: 7572615944)

📍
Updated Business Mailing Address September 21, 2021

Registered at 850 KEMPSVILLE RD STE 100D, NORFOLK, VA 235023920 (Tel: 7572615944)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2021

Physician Assistant (License #081387 in None)

📍
Updated Business Mailing Address March 02, 2020

Registered at 4909 N GLEN PARK PLACE RD, PEORIA, IL 616144676 (Tel: 3096747546)

📍
Updated Practice Location July 19, 2018

Registered at 1800 E. 54TH STREET, STE B, DAVENPORT, IA 528072763 (Tel: 5633447546)

📍
Updated Business Mailing Address July 19, 2018

Registered at 4909 N. GLEN PARK PLACE, PEORIA, IL 616144676 (Tel: 3096747546)

NPI Profile Active October 06, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2014

Registered at 801 ILLINI DR, SILVIS, IL 612821804 (Tel: 3092814065)

📍
Updated Business Mailing Address October 06, 2014

Registered at 801 ILLINI DRIVE, SILVIS, IL 61282 (Tel: 3092814065)

👤
Provider Name / Credentials Updated October 06, 2014

Recorded as CARISSA PARDEKOOPER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2014

Physician Assistant (License #085005227 in IL)

🟢
Initial NPI Registration & Enumeration October 06, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063815017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2014
Last Update: June 07, 2026
Sole Proprietor: No

Mailing Address

1706 Todds Ln Ste 310

Hampton, VA 236663123

Phone: 8883217170

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.