Individual provider Active NPI

Nina V Nation, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1255321774
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA777 Issued in NV
Practice address
2875 S Nellis Blvd Ste 3
Las Vegas, NV 89121-2087
Phone
(702) 843-2420
Fax
(833) 749-0351
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA777 NV Primary

Addresses

Primary practice location

2875 S Nellis Blvd Ste 3
Las Vegas, NV 89121-2087

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other practice location 1

3425 Cliff Shadows Pkwy Ste 250
Las Vegas, NV 89129-5112
Phone (702) 382-1599

Other identifiers 1

IdentifierTypeStateIssuer
1255321774MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nina.nation.1@29601.direct.athenahealth.com

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
I20040126000322 NV Practitioner - Physician Assistant 4880596287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2875 S Nellis Blvd
Suite 3
Las Vegas, NV 89121-2087
Phone (702) 843-2420

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NV) PC CurrentSince Jan 13, 2026 Accepting new patients
Centerwell Senior Primary Care (NV) PC Past Accepting new patients
Centerwell Senior Primary Care NV P C Past Accepting new patients
Intermountain Medical Holdings Nevada Inc Past Accepting new patients
David J. Oliveri, M.D., PC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

2875 S Nellis Blvd
Ste 3
Las Vegas, NV 89121
Phone (702) 843-2420

Interoperability endpoints

  • Direct secure messaging: nina.nation.1@29601.direct.athenahealth.com

Organizations & group practices 6

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1255321774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 S NELLIS BLVD STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212087",
            "telephone_number": "702-843-2420",
            "fax_number": "833-749-0351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3425 Cliff Shadows Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891295112",
            "country_code": "US",
            "telephone_number": "702-382-1599",
            "fax_number": "702-240-4962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATION",
        "first_name": "NINA",
        "middle_name": "V",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255321774",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nina.nation.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2875 S Nellis Blvd Ste 3",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891212087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.