Individual provider Active NPI

Cameron Wheeler, PA-C

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1831859974
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2877 Issued in NV
Practice address
6512 S McCarran Blvd # E
Reno, NV 89509-6141
Phone
(775) 384-1127
NPI assigned
Dec 29, 2021
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA2877 NV Primary

Addresses

Primary practice location

6512 S McCarran Blvd # E
Reno, NV 89509-6141

Mailing address

445 E 7TH St Apt C
Reno, NV 89512-4309

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
I20231023001544 NV Practitioner - Physician Assistant 4082060363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nevada School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ali Nairizi MD PCGroup PAC ID 7113256942, 6 clinicians

Practice addresses (Care Compare)

5500 Reno Corporate Dr
Suite 300
Reno, NV 89511-2628
Phone (775) 384-1127

6512 S McCarran Blvd E
Reno, NV 89509-6112

6522 S McCarran Blvd
Suite a
Reno, NV 89509-6112
Phone (775) 384-1380

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2877NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Nairizi MD PC Single Specialty CurrentSince Oct 4, 2023 Accepting new patients
Renown Regional Medical Center Single Specialty Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients

Locations

5500 Reno Corporate Dr
Ste 300
Reno, NV 89511
Phone (714) 396-6128

6522 S McCarran Blvd
Ste A
Reno, NV 89509
Phone (775) 384-1127

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1831859974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E 7TH ST APT C",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895124309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 S MCCARRAN BLVD # E",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096141",
            "telephone_number": "775-384-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "CAMERON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-29",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.