NPIMap

Individual provider Active NPI

Melissa Michelle Cresto, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1710266937
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8771961 Issued in ID
Practice address
500 N Rainbow Blvd Ste 203
Las Vegas, NV 89107-1084
Phone
(702) 259-1228
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8771961 ID Primary

Addresses

Primary practice location

500 N Rainbow Blvd Ste 203
Las Vegas, NV 89107-1084

Mailing address

500 N Rainbow Blvd Ste 203
Las Vegas, NV 89107-1084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240501004036 FL Practitioner - Physician Assistant 1951733583 Reassigns benefits to 1 organization
I20250908002694 ID Practitioner - Physician Assistant 1951733583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Southern California Keck School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8771961IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Health Emergency Medicine Idaho, PLLC CurrentSince Sep 15, 2025 Accepting new patients
Cep America, LLC CurrentSince Oct 1, 2025 Accepting new patients
Cep America LLC CurrentSince Oct 1, 2025 Accepting new patients
Cep America, LLC Current Accepting new patients
Doctors Medical Services, Emcare PastSince Dec 15, 2019 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

Interoperability endpoints

  • Direct secure messaging: mcresto4587503@direct.trinity-health.org

Organizations & group practices 6

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 8

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1710266937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071084",
            "telephone_number": "702-259-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESTO",
        "first_name": "MELISSA",
        "middle_name": "MICHELLE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "8771961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.