Active NPI
Melissa Ann Moyer, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1205084563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1108
- Practice address
- 8515 Edna Ave Ste 240
Las Vegas, NV 89117-4441 - Phone
- (702) 330-3490
- Fax
- (702) 800-8450
- NPI assigned
- Aug 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1108 | NV | Primary |
Addresses
Primary practice location
8515 Edna Ave Ste 240
Las Vegas, NV 89117-4441
Mailing address
11035 Lavender Hill
160-587
Las Vegas, NV 89135
Phone (702) 330-3490
Other names 1
- Melissa Ann Stong
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110204000855 | NV | Practitioner - Physician Assistant | 8224218458 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atkinson, LTD | Past | Accepting new patients | |
| Healthcare Partners Medical Group (Coats) LTD. | 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.
-
- Adult Medicine Physician
- Las Vegas, NV
- NPI 1801966791
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1902883341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1205084563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11035 LAVENDER HILL",
"address_2": "160-587",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89135",
"telephone_number": "702-330-3490",
"fax_number": "702-800-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8515 EDNA AVE STE 240",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891174441",
"telephone_number": "702-330-3490",
"fax_number": "702-800-8450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "STONG",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}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 Aug 25, 2020; 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.