Individual provider Active NPI

Allison Rae Mink

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1922802875
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2779 W Horizon Ridge Pkwy Ste 200
Henderson, NV 89052-4186
Phone
(702) 990-2290
Fax
(702) 990-2297
NPI assigned
Apr 1, 2025
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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

2779 W Horizon Ridge Pkwy Ste 200
Henderson, NV 89052-4186

Mailing address

1801 N Green Valley Pkwy Apt 724
Henderson, NV 89074-5828

Other practice location 1

2501 N Blackwelder Ave
Oklahoma City, OK 73106-1402
Phone (405) 208-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, ID2 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
I20251017001093 NV Practitioner - Physician Assistant 8325535743 Reassigns benefits to 1 organization
I20260130002924 ID Practitioner - Physician Assistant 8325535743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Medical Center PLLCGroup PAC ID 1052480076, 18 clinicians

Practice addresses (Care Compare)

3820 Crestwood LN
Idaho Falls, ID 83404-4979
Phone 2085527700837

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Medical Center, PLLC Family Medicine CurrentSince Jan 5, 2026 Accepting new patients
Crovetti Bone and Joint Institute of Southern Nevada CurrentSince Aug 11, 2025 Accepting new patients
Family First Medical Center Past Accepting new patients

Locations

3820 Crestwood Ln
Idaho Falls, ID 83404
Phone (208) 552-7700

2779 W Horizon Ridge Pkwy
Ste 200
Henderson, NV 89052
Phone 7029902290222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21377/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBAA

Organizations & group practices 3

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": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1922802875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N GREEN VALLEY PKWY APT 724",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2779 W HORIZON RIDGE PKWY STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524186",
            "telephone_number": "702-990-2290",
            "fax_number": "702-990-2297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 N Blackwelder Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731061402",
            "country_code": "US",
            "telephone_number": "405-208-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINK",
        "first_name": "ALLISON",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.