Individual provider Active NPI

Melanie Harris, PA

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1902623721
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9280 W Sunset Rd Ste 210
Las Vegas, NV 89148-4861
Phone
(702) 851-0792
Fax
(702) 851-0797
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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 Primary

Addresses

Primary practice location

9280 W Sunset Rd Ste 210
Las Vegas, NV 89148-4861

Mailing address

9280 W Sunset Rd Ste 210
Las Vegas, NV 89148-4861
Phone (702) 851-0792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250401000782 NV Practitioner - Physician Assistant 3072036995 Reassigns benefits to 1 organization
I20260109003333 AZ Practitioner - Physician Assistant 3072036995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Forage Anson Neurosurgical LLPGroup PAC ID 3375676513, 10 clinicians

Practice addresses (Care Compare)

1972 Mesquite Ave
Lake Havasu City, AZ 86403-5729
Phone (702) 896-0940

8530 W Sunset Rd
Suite 250
Las Vegas, NV 89113-2245
Phone (702) 851-0792

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11189AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Forage Anson Neurosurgical LLP CurrentSince Feb 24, 2025 Accepting new patients

Locations

1972 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (702) 896-0940

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

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

Organizations & group practices 1

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 3

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1902623721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484861",
            "telephone_number": "702-851-0792",
            "fax_number": "702-851-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484861",
            "telephone_number": "702-851-0792",
            "fax_number": "702-851-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MELANIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.