Individual provider Active NPI

Ryan C Nokes, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1053773739
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone
(702) 383-2000
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1800 W Charleston Blvd
Las Vegas, NV 89102-2329

Mailing address

5412 Boulder Hwy
Las Vegas, NV 89122-6039
Phone (702) 291-7121

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
I20160726001574 NV Practitioner - Physician Assistant 4587957782 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3312 W Charleston Blvd
Las Vegas, NV 89102-1829
Phone 70241078251514

4270 S Decatur Blvd
Suite B6
Las Vegas, NV 89103-6802
Phone (702) 485-2100

5412 Boulder Hwy
Las Vegas, NV 89122-6039
Phone (702) 291-7121

890 Mill St
Suite 300
Reno, NV 89502-1436
Phone (775) 538-6700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medtrans Medical Nevada Casal PLLC CurrentSince Jan 1, 2022 Accepting new patients
Clark Schillinger Emergency Group, PC Physician Assistant CurrentSince May 23, 2018 Accepting new patients
Medtrans Behavioral Nevada Casal, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Carefirst Urgent Care, LLC PastSince Aug 9, 2020 Accepting new patients

Locations

4980 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 216-7365

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

4270 S Decatur Blvd
Ste B6
Las Vegas, NV 89103
Phone (702) 485-2100

5412 Boulder Hwy
Las Vegas, NV 89122

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

890 Mill St
Ste 300
Reno, NV 89502
Phone (775) 323-5566

Interoperability endpoints

  • Direct secure messaging: rnokes10453@direct.umcsn.com

Organizations & group practices 8

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1053773739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226039",
            "telephone_number": "702-291-7121",
            "fax_number": "702-947-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022329",
            "telephone_number": "702-383-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOKES",
        "first_name": "RYAN C",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.