NPIMap

Individual provider Active NPI

Michael Esteban Hernandez, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1285215798
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2439 Issued in NV
Practice address
3560 E Flamingo Rd Ste 100
Las Vegas, NV 89121-5088
Phone
(702) 433-6944
NPI assigned
Apr 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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 PA2439 NV Primary

Addresses

Primary practice location

3560 E Flamingo Rd Ste 100
Las Vegas, NV 89121-5088

Mailing address

185 E 100 S
Burley, ID 83318-5443
Phone (208) 219-3367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211202001829 NV Practitioner - Physician Assistant 3072903202 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Shelin Agrawal and Hyer PLLCGroup PAC ID 5890955959, 65 clinicians
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians
Ellis Bandt Birkin Kollins and Wong PLLCGroup PAC ID 4486568946, 68 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89106
Phone (702) 759-8600

Las Vegas, NV 89135
Phone (702) 759-8600

Las Vegas, NV 89149
Phone (702) 759-8600

11031 Pegasus Dr
Las Vegas, NV 89135-7822
Phone (702) 759-8600

1113 Lumina CT
Las Vegas, NV 89117-7105
Phone (904) 399-5550

2811 W Horizon Ridge Pkwy
Henderson, NV 89052-4394
Phone (702) 759-8600

292 Broadcast Ave
Las Vegas, NV 89183-3527
Phone (904) 399-5550

3025 S Rainbow Blvd
Las Vegas, NV 89146-6582
Phone (702) 759-8600

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (866) 722-1655

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (866) 722-1655

404 Lake Windemere St
Las Vegas, NV 89138-3004
Phone (702) 759-8600

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 853-3000

657 N Town Ctr Dr
Las Vegas, NV 89144-6367
Phone (702) 233-7571

6675 S Cimarron Rd
Las Vegas, NV 89113-2132
Phone (702) 759-8600

6690 Interstellar St
Las Vegas, NV 89135-9103
Phone (702) 255-5000

7130 Smoke Ranch Rd
Las Vegas, NV 89128-3157
Phone (866) 722-1655

7200 Cathedral Rock Dr
Suite 230
Las Vegas, NV 89128-0440
Phone (702) 759-8600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2439NVMDPhysician Assistant

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1285215798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 E 100 S",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833185443",
            "telephone_number": "208-219-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 E FLAMINGO RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215088",
            "telephone_number": "702-433-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MICHAEL",
        "middle_name": "ESTEBAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.