NPIMap

Individual provider Active NPI

Taylor Ashly Roehr

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1831754951
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2120 Issued in NV
Practice address
6765 W Charleston Blvd Ste 150
Las Vegas, NV 89146-2001
Phone
(702) 518-5774
NPI assigned
May 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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 PA2120 NV Primary

Addresses

Primary practice location

6765 W Charleston Blvd Ste 150
Las Vegas, NV 89146-2001

Mailing address

6765 W Charleston Blvd
Ste 150
Las Vegas, NV 89146-2001
Phone (702) 518-5774

Other practice location 1

1358 Paseo Verde Pkwy Ste 200
Henderson, NV 89012-5725
Phone (702) 518-5774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805002102 NV Practitioner - Physician Assistant 5294062873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Forage Anson Neurosurgical LLPGroup PAC ID 3375676513, 10 clinicians
LV Surgery Associates PLLCGroup PAC ID 2668840174, 25 clinicians

Practice addresses (Care Compare)

861 Coronado Ctr Dr
Suite 200
Henderson, NV 89052-3992
Phone (702) 896-0940

8930 W Sunset Rd
Suite 300
Las Vegas, NV 89148-5013
Phone (702) 258-7788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as group
Quality
95.07
Promoting interoperability
96
Improvement activities
40
Cost
70.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Forage Anson Neurosurgical LLP CurrentSince Oct 25, 2021 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

861 Coronado Center Dr
Ste 200
Henderson, NV 89052
Phone (702) 896-0940

8530 W Sunset Rd
Ste 250
Las Vegas, NV 89113
Phone (702) 851-0792

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

9280 W Sunset Rd
Ste 210
Las Vegas, NV 89148
Phone (702) 851-0792

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.

Hospital & facility affiliations 10

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": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1831754951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6765 W CHARLESTON BLVD",
            "address_2": "STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462001",
            "telephone_number": "702-518-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6765 W CHARLESTON BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462001",
            "telephone_number": "702-518-5774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1358 Paseo Verde Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890125725",
            "country_code": "US",
            "telephone_number": "702-518-5774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEHR",
        "first_name": "TAYLOR",
        "middle_name": "ASHLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.