Active NPI
Ryan Estelle
- Physician Assistant
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9112654
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luis Velazquez MD PLLC | Current | 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
- https://fhir4.healow.com/fhir/r4/EAIIBA/Endpoint/EAIIBA
- https://fhir4.healow.com/fhir/r4/GBEDAD
- https://fhir4.healow.com/fhir/r4/GBEDAD/Endpoint/GBEDAD
- ryan.estelle.p2@direct.painreliefcenters.nextgenshare.com
- 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.
-
- Interventional Pain Medicine Physician
- Las Vegas, NV
- NPI 1073624011
-
- Pain Medicine (Anesthesiology) Physician
- Las Vegas, NV
- NPI 1114378874
-
- Orthopaedic Surgery Physician
- Atlantis, FL
- NPI 1164963252
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.