Active NPI
Fletcher Peavy, PA-C
- Medical Physician Assistant
- Las Vegas, NV
National Provider Identifier
1437869526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA2783
- Practice address
- 5440 W Sahara Ave Ste 302
Las Vegas, NV 89146-0361 - Phone
- (702) 633-0207
- NPI assigned
- Nov 29, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA2783 | NV | Primary |
Addresses
Primary practice location
5440 W Sahara Ave Ste 302
Las Vegas, NV 89146-0361
Mailing address
951 Las Palmas Entrada Ave Apt 1927
Henderson, NV 89012-5628
Phone (480) 434-4065
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2031 McDaniel St
Suite 140
N Las Vegas, NV 89030-6308
Phone (702) 633-0207
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.79 of 100
- Quality
- 79.17
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 84.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2783 | NV | MD | Medical Physician Assistant |
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.
-
- Gastroenterology Physician
- North Las Vegas, NV
- NPI 1629242698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1437869526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 LAS PALMAS ENTRADA AVE APT 1927",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890125628",
"telephone_number": "480-434-4065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5440 W SAHARA AVE STE 302",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460361",
"telephone_number": "702-633-0207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAVY",
"first_name": "FLETCHER",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-29",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA2783",
"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 Mar 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.