Active NPI
Jean-Pierre Petrel II, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1003689324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2931
- Practice address
- 4785 S Durango Dr Ste 101
Las Vegas, NV 89147-8167 - Phone
- (702) 901-4233
- NPI assigned
- Oct 30, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2931 | NV | Primary |
| Medical Physician Assistant | 363AM0700X | PA2931 | NV | |
| Surgical Physician Assistant | 363AS0400X | PA2931 | NV |
Addresses
Primary practice location
4785 S Durango Dr Ste 101
Las Vegas, NV 89147-8167
Mailing address
4785 S Durango Dr Ste 101
Las Vegas, NV 89147-8167
Phone (702) 889-8444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2931 | NV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Wee Care Pediatrics | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Neurological Surgery Physician
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- NPI 1780010835
-
- Neonatal-Perinatal Medicine Physician
- Las Vegas, NV
- NPI 1992809412
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1518181841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1003689324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4785 S DURANGO DR STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478167",
"telephone_number": "702-889-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4785 S DURANGO DR STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478167",
"telephone_number": "702-901-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETREL",
"first_name": "JEAN-PIERRE",
"name_suffix": "II",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-30",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA2931",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA2931",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NV",
"license": "PA2931",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.