Individual provider Active NPI

Pamela Elaine Albo, PAC

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1790876084
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
608 Issued in NV
Practice address
1569 E Flamingo Rd
Las Vegas, NV 89119-5321
Phone
(702) 476-9999
Fax
(702) 946-1343
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 608 NV
Medical Physician Assistant 363AM0700X 608 NV Primary

Addresses

Primary practice location

1569 E Flamingo Rd
Las Vegas, NV 89119-5321

Mailing address

9033 W Sahara Ave
Las Vegas, NV 89117-5745
Phone (702) 476-9999

Other identifiers 2

IdentifierTypeStateIssuer
002402325MedicaidNV
104032OtherMEDICARE PTAN

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
I20060315000158 NV Practitioner - Physician Assistant 1658388756 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coppel Medical Enterprise LLCGroup PAC ID 8921140641, 20 clinicians

Practice addresses (Care Compare)

1569 E Flamingo Rd
Las Vegas, NV 89119-5321
Phone (702) 476-9999

2809 W Charleston Blvd
Suite 150
Las Vegas, NV 89102-1998
Phone (702) 476-9999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
608NVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a Gephardt MD LTD CurrentSince Dec 1, 2021 Accepting new patients
North Vista Hospital LLC PastSince Jul 25, 2019 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

825 N Gibson Rd
Ste 420
Henderson, NV 89011
Phone (702) 912-4100

7220 S Cimarron Rd
Ste 270
Las Vegas, NV 89113
Phone (702) 623-5564

Interoperability endpoints

  • Direct secure messaging: pamela.albo@5193.chartlogic.direct-ci.com
  • Direct secure messaging: pamela.albo@579.chartlogic.direct-ci.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1790876084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175745",
            "telephone_number": "702-476-9999",
            "fax_number": "702-946-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195321",
            "telephone_number": "702-476-9999",
            "fax_number": "702-946-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBO",
        "first_name": "PAMELA",
        "middle_name": "ELAINE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "608",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002402325",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "104032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.