Individual provider Active NPI

Jordan James Patrick Vieira, PAC

  • Surgical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1922197565
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA3248 Issued in NV
Practice address
7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356
Phone
(702) 878-0393
Fax
(702) 258-3773
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA3248 NV Primary

Addresses

Primary practice location

7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356

Mailing address

7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356
Phone (702) 878-0393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NV2 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
I20060209000253 WA Practitioner - Physician Assistant 5890700017 Reassigns benefits to 1 organization
I20251002002396 NV Practitioner - Physician Assistant 5890700017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Orthopedic and Spine CenterGroup PAC ID 4284622895, 26 clinicians

Practice addresses (Care Compare)

1505 Wigwam Pkwy
Suite 330
Henderson, NV 89074-8195
Phone (702) 878-0393

7455 W Washington Ave
Las Vegas, NV 89128-4356
Phone (702) 878-0393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3248NVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Dec 6, 2005 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Dec 6, 2005 Accepting new patients

Locations

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

11511 NE 10th St
Hunts Point, WA 98004
Phone (425) 502-3000

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

10452 Silverdale Way NW
Silverdale, WA 98383
Phone (360) 307-7300

209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: jordanvieira@nosc.allscriptsdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1922197565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284356",
            "telephone_number": "702-878-0393",
            "fax_number": "702-258-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284356",
            "telephone_number": "702-878-0393",
            "fax_number": "702-258-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEIRA",
        "first_name": "JORDAN",
        "middle_name": "JAMES PATRICK",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA3248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.