Individual provider Active NPI

Megan Mary Wiesel, PA-C

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1528060225
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA850 Issued in NV
Practice address
9780 W Skye Canyon Park Dr Ste 100
Las Vegas, NV 89166-6625
Phone
(702) 589-3100
Fax
(702) 851-7725
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 PA850 NV Primary

Addresses

Primary practice location

9780 W Skye Canyon Park Dr Ste 100
Las Vegas, NV 89166-6625

Mailing address

9780 W Skye Canyon Park Dr Ste 100
Las Vegas, NV 89166-6625
Phone (702) 589-3100

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
I20090303000024 NV Practitioner - Physician Assistant 9335045731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 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

Merit-based Incentive Payment System (MIPS)

Final score
99.95 of 100Reported as individual
Quality
99.91
Promoting interoperability
100
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 Jan 10, 2014 Accepting new patients
J Robert West, M.D., Inc CurrentSince Jan 10, 2014 Accepting new patients
Advanced Care Emergency Services, PLLC Past Accepting new patients

Locations

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

400 N Stephanie St
Ste 400
Henderson, NV 89014
Phone (702) 933-0225

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

9780 W Skye Canyon Park Dr
Ste 100
Las Vegas, NV 89166
Phone (702) 589-3100

9780 W Skye Canyon Park Dr
Ste 140
Las Vegas, NV 89166

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

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

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

9750 W Skye Canyon Park Dr
Ste 160287
Las Vegas, NV 89166
Phone (702) 350-1463

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

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1528060225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 W SKYE CANYON PARK DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666625",
            "telephone_number": "702-589-3100",
            "fax_number": "702-851-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 W SKYE CANYON PARK DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666625",
            "telephone_number": "702-589-3100",
            "fax_number": "702-851-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESEL",
        "first_name": "MEGAN",
        "middle_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.