Active NPI
Madison Marie McKamey
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1376267534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1204283
- Practice address
- 10105 Banburry Cross Dr Ste 170
Las Vegas, NV 89144-6647 - Phone
- (702) 765-5437
- NPI assigned
- Sep 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 1204283 | NV | Primary |
Addresses
Primary practice location
10105 Banburry Cross Dr Ste 170
Las Vegas, NV 89144-6647
Mailing address
10105 Banburry Cross Dr Ste 170
Las Vegas, NV 89144-6647
Phone (702) 765-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1204283 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Lepore DO PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1205866381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762560000000",
"number": "1376267534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10105 BANBURRY CROSS DR STE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446647",
"telephone_number": "702-765-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10105 BANBURRY CROSS DR STE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446647",
"telephone_number": "702-765-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAMEY",
"first_name": "MADISON",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-30",
"last_updated": "2025-11-08",
"certification_date": "2025-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NV",
"license": "1204283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.