Individual provider Active NPI

Stephen Packer, MD

  • Anesthesiology Physician
  • North Las Vegas, NV
National Provider Identifier
1487195756
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME147091 Issued in FL
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

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
87013OtherGAMEDICAL BOARD
ME147091OtherFLMEDICAL BOARD
62203OtherTNMEDICAL BOARD
22027OtherNVMEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210915003958 TN Practitioner - General PracticePractitioner - Anesthesiology 3971889445 Reassigns benefits to 1 organization
I20230721002659 FL Practitioner - Anesthesiology 3971889445 Reassigns benefits to 1 organization
I20251014002484 CA Practitioner - Anesthesiology 3971889445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

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

LicenseStateTypeSpecialty
A201373CAMDAnesthesiology Physician
ME147091FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medical Group, PC Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Sep 15, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Sep 15, 2025 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.

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

Verify at the official NPI Registry.