Individual provider Active NPI

Keesha Pamela Pierce, PA-C

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1366758153
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1226 Issued in NV
Practice address
2650 N Tenaya Way Ste 208
Las Vegas, NV 89128-1104
Phone
(702) 360-2100
Fax
(027) 990-4808
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1226 NV Primary

Addresses

Primary practice location

2650 N Tenaya Way Ste 208
Las Vegas, NV 89128-1104

Mailing address

2285 Corporate Cir
Ste 200
Henderson, NV 89074-7759
Phone (702) 360-2763

Other identifiers 1

IdentifierTypeStateIssuer
1090911OtherNVNCCPA

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
I20101210000273 NV Practitioner - Physician Assistant 2961699319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians
Fife Dermatology PCGroup PAC ID 1355480252, 17 clinicians

Practice addresses (Care Compare)

2650 N Tenaya Way
Suite 208
Las Vegas, NV 89128-1104
Phone (702) 360-2100

630 S Rancho Dr
Suite E
Las Vegas, NV 89106-4849
Phone (702) 258-1001

6460 Medical Ctr St
Suite 350
Las Vegas, NV 89148-2423
Phone (702) 255-6647

Merit-based Incentive Payment System (MIPS)

Final score
97 of 100Reported as individual
Quality
100
Promoting interoperability
90
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc CurrentSince Jul 3, 2013 Accepting new patients
Fife Dermatology, P.C. CurrentSince Mar 1, 2026 Accepting new patients

Locations

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

653 N Town Center Dr
Ste 214
Las Vegas, NV 89144
Phone (702) 248-8989

2650 N Tenaya Way
Ste 208
Las Vegas, NV 89128
Phone (702) 360-2100

6460 Medical Center St
Ste 200
Las Vegas, NV 89148
Phone (702) 255-6647

8205 W Warm Springs Rd
Ste 190
Las Vegas, NV 89113
Phone (702) 588-6730

630 S Rancho Dr
Ste E
Las Vegas, NV 89106
Phone (702) 258-1001

3010 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 933-0225

6460 Medical Center St
Ste 350
Las Vegas, NV 89148
Phone (702) 255-6647

2080 E Calvada Blvd
Ste 500
Pahrump, NV 89048
Phone (775) 537-0364

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.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1366758153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 CORPORATE CIR",
            "address_2": "STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747759",
            "telephone_number": "702-360-2763",
            "fax_number": "949-783-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N TENAYA WAY STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281104",
            "telephone_number": "702-360-2100",
            "fax_number": "027-990-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "KEESHA",
        "middle_name": "PAMELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1090911",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.