Active NPI
Peggy Jo Walker, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1275954885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1481
- Practice address
- 500 N Rainbow Blvd Ste 203
Las Vegas, NV 89107-1084 - Phone
- (702) 259-1228
- Fax
- (866) 460-6277
- NPI assigned
- Dec 27, 2013
- 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 | PA1481 | NV | Primary |
Addresses
Primary practice location
500 N Rainbow Blvd Ste 203
Las Vegas, NV 89107-1084
Mailing address
500 N Rainbow Blvd Ste 203
Las Vegas, NV 89107-1084
Phone (702) 259-1228
Other names 1
- Peggy Stoltz
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1481 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shadow Emergency Physicians PLLC | Physician Assistant | Current | Accepting new patients |
| Doctors Medical Services, Emcare | Past | Accepting new patients |
Locations
1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124
2581 Saint Rose Pkwy
Henderson, NV 89074
Phone (702) 780-2700
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
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.
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1184795874
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1043030919
Physician Assistant
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1578850962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1275954885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N RAINBOW BLVD STE 203",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071084",
"telephone_number": "702-259-1228",
"fax_number": "866-460-6277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N RAINBOW BLVD STE 203",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071084",
"telephone_number": "702-259-1228",
"fax_number": "866-460-6277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "PEGGY",
"middle_name": "JO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-27",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PEGGY",
"last_name": "STOLTZ",
"credential": "PA-C",
"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 Mar 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.