Active NPI
Stephen Packer, MD
- Anesthesiology Physician
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME147091
- Practice address
- 2527 Wildbrook Ave
North Las Vegas, NV 89086-1548 - Phone
- (725) 222-0807
- Fax
- (707) 666-6480
- NPI assigned
- Mar 20, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A201373 | CA | |
| Anesthesiology Physician | 207L00000X | 22027 | NV | |
| Anesthesiology Physician | 207L00000X | ME147091 | FL | Primary |
Addresses
Primary practice location
2527 Wildbrook Ave
North Las Vegas, NV 89086-1548
Mailing address
3500 Posner Blvd # 1277
Davenport, FL 33837-3640
Phone (725) 222-0807
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87013 | Other | GA | MEDICAL BOARD |
| ME147091 | Other | FL | MEDICAL BOARD |
| 62203 | Other | TN | MEDICAL BOARD |
| 22027 | Other | NV | MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8135 Saratoga Way
El Dorado Hills, CA 95762-4590
Phone (916) 235-8775
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A201373 | CA | MD | Anesthesiology Physician |
| ME147091 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Group, PC | Anesthesiology | Current | Accepting new patients |
| Ams National LLC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
Locations
8135 Saratoga Way
El Dorado Hls, CA 95762
Phone (815) 997-2939
1651 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (702) 458-2304
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
40100 Highway 27
#C
Davenport, FL 33837
Phone (863) 866-4192
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688
6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242
110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870
2000 Church St
Nashville, TN 37236
Phone (615) 284-4672
Organizations & group practices 5
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.
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Hospital & facility affiliations 1
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": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1487195756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 POSNER BLVD # 1277",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338373640",
"telephone_number": "725-222-0807",
"fax_number": "707-666-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2527 WILDBROOK AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861548",
"telephone_number": "725-222-0807",
"fax_number": "707-666-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACKER",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-20",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A201373",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NV",
"license": "22027",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME147091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD",
"identifier": "87013",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD",
"identifier": "ME147091",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD",
"identifier": "62203",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD",
"identifier": "22027",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.