Active NPI
Wade Karl Leavitt, PA-C
- Physician Assistant
- Logandale, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0751
- Practice address
- 1925 Whipple Ave Ste 30
Logandale, NV 89021-9934 - Phone
- (702) 398-3621
- NPI assigned
- Jul 7, 2025
- Last updated
- Oct 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA0751 | NV | Primary |
| Physician Assistant | 363A00000X | PA3249 | NV |
Addresses
Primary practice location
1925 Whipple Ave Ste 30
Logandale, NV 89021-9934
Mailing address
1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1925 Whipple Ave
Suite 30
Logandale, NV 89021-9934
Phone (702) 398-3621
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0751 | NV | MD | Physician Assistant |
| PA3249 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesquite Clinic Management Company LLC | Current | Accepting new patients | |
| Mesquite Clinic Management Company LLC | Current | Accepting new patients | |
| Alfaro LTD | Past | Accepting new patients |
Locations
1301 Bertha Howe Ave
Ste 1
Mesquite, NV 89027
Phone (702) 346-0200
Interoperability endpoints
- wade.leavitt.1@2184.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Mesquite, NV
- NPI 1548800501
-
- Rural Health Clinic/Center
- Logandale, NV
- NPI 1982275236
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mesa View Regional Hospital
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1801786454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BERTHA HOWE AVE STE 1",
"city": "MESQUITE",
"state": "NV",
"postal_code": "890277503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 WHIPPLE AVE STE 30",
"city": "LOGANDALE",
"state": "NV",
"postal_code": "890219934",
"telephone_number": "702-398-3621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVITT",
"first_name": "WADE",
"middle_name": "KARL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-07",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA0751",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA3249",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logandale, NV
- Curtis Family Dental
- Kevin Dotson
- Elevated Therapy Services
- Family Matters
- Gorman Moapa Valley Family Pratice PLLC Michael J Gorman Sole MBR
- Candace Leann Madden, REGISTERED NURSE
- Mesquite Clinic Management Company LLC
- Moapa Valley Fire Protection District
- Nonpareil Care LLC
- Patient Medical Transport
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.