Active NPI
Angel Louise Wenger, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1811267909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0473
- Practice address
- 2701 N Tenaya Way Ste 290
Las Vegas, NV 89128-1406 - Phone
- (702) 420-2163
- Fax
- (702) 420-2930
- NPI assigned
- Jan 5, 2012
- Sex
- Female
- 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 | PA1319 | NV | |
| Physician Assistant | 363A00000X | PA0473 | NV | Primary |
Addresses
Primary practice location
2701 N Tenaya Way Ste 290
Las Vegas, NV 89128-1406
Mailing address
2701 N Tenaya Way Ste 290
Las Vegas, NV 89128-1406
Phone (702) 420-2163
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
861 Coronado Ctr Dr
Suite 100
Henderson, NV 89052-3992
Phone (702) 257-7546
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.52 of 100
- Quality
- 89.02
- Improvement activities
- 40
- Cost
- 69.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0473 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Laser Center, PC, a Professional Medical Corporation | Past | Accepting new patients | |
| Vegas Vascular Specialists PLLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dermatology Physician
- Henderson, NV
- NPI 1124436480
-
- Plastic Surgery Physician
- Henderson, NV
- NPI 1295986156
-
- Vascular Surgery Physician
- Las Vegas, NV
- NPI 1700523917
-
- Multi-Specialty Clinic/Center
- San Clemente, CA
- NPI 1306982855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1811267909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 N TENAYA WAY STE 290",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891281406",
"telephone_number": "702-420-2163",
"fax_number": "702-420-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 N TENAYA WAY STE 290",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891281406",
"telephone_number": "702-420-2163",
"fax_number": "702-420-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENGER",
"first_name": "ANGEL",
"middle_name": "LOUISE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-05",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1319",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA0473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.