Individual provider Active NPI

Jamie-Lee Planes, PAC

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1194559070
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA3153 Issued in NV
Practice address
6240 N Durango Dr Ste 120
Las Vegas, NV 89149-3941
Phone
(702) 779-3088
Fax
(702) 867-8890
NPI assigned
Aug 31, 2024
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 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 PA3153 NV
Medical Physician Assistant 363AM0700X PA3153 NV Primary

Addresses

Primary practice location

6240 N Durango Dr Ste 120
Las Vegas, NV 89149-3941

Mailing address

9645 Swaying Trees Dr
Las Vegas, NV 89147-8280
Phone (702) 366-4813

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
I20250211003604 NV Practitioner - Physician Assistant 8527598176 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3153NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Mar 3, 2025 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Mar 3, 2025 Accepting new patients

Locations

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1194559070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 SWAYING TREES DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478280",
            "telephone_number": "702-366-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 N DURANGO DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493941",
            "telephone_number": "702-779-3088",
            "fax_number": "702-867-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANES",
        "first_name": "JAMIE-LEE",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-31",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3153",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA3153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.