Individual provider Active NPI

Ryan Estelle

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1013555796
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112654 Issued in FL
Practice address
3820 S Hualapai Way Ste 200
Las Vegas, NV 89147-5734
Phone
(702) 960-4150
Fax
(702) 960-4154
NPI assigned
Dec 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3042 NV
Physician Assistant 363A00000X PA9112654 FL Primary

Addresses

Primary practice location

3820 S Hualapai Way Ste 200
Las Vegas, NV 89147-5734

Mailing address

3820 S Hualapai Way Ste 200
Las Vegas, NV 89147-5734
Phone (702) 960-4150

Other practice location 1

1815 E Lake Mead Blvd Ste 300
N Las Vegas, NV 89030-7193
Phone (702) 960-4150

Other practice location 2

1617 E Windmill Ln Ste 300
Las Vegas, NV 89123-1933
Phone (702) 960-4150

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731004850 NV Practitioner - Physician Assistant 9335574060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6950 W Desert Inn Rd
Suite 110
Las Vegas, NV 89117-3171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Luis Velazquez MD PLLC CurrentSince Jul 20, 2026 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Locations

1617 E Windmill Ln
Ste 300
Las Vegas, NV 89123
Phone (702) 960-4083

3820 S Hualapai Way
Ste 200
Las Vegas, NV 89147
Phone (702) 796-0231

1815 E Lake Mead Blvd
Ste 307
North Las Vegas, NV 89030
Phone (702) 838-9710

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAIIBA/Endpoint/EAIIBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBEDAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBEDAD/Endpoint/GBEDAD
  • Direct secure messaging: ryan.estelle.p2@direct.painreliefcenters.nextgenshare.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/dese-95d54c95

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1013555796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 S HUALAPAI WAY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475734",
            "telephone_number": "702-960-4150",
            "fax_number": "702-960-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 S HUALAPAI WAY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475734",
            "telephone_number": "702-960-4150",
            "fax_number": "702-960-4154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 E Lake Mead Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "N Las Vegas",
            "state": "NV",
            "postal_code": "890307193",
            "country_code": "US",
            "telephone_number": "702-960-4150",
            "fax_number": "702-960-4154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1617 E Windmill Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891231933",
            "country_code": "US",
            "telephone_number": "702-960-4150",
            "fax_number": "702-960-4154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTELLE",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-13",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3042",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.