Active NPI
Adam Luckette, PA-C
- Physician Assistant
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1149
- Practice address
- 7336 W Post Rd Ste 109
Las Vegas, NV 89113-6647 - Phone
- (702) 369-0088
- Fax
- (702) 893-4913
- NPI assigned
- Mar 27, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1149 | NV | Primary |
Addresses
Primary practice location
7336 W Post Rd Ste 109
Las Vegas, NV 89113-6647
Mailing address
PO Box 370644
Las Vegas, NV 89137-0644
Phone (702) 360-6003
Other practice location 1
5809 W Modoc Ave
Visalia, CA 93291-8527
Phone (725) 209-3053
Other practice location 2
925 N La Brea Ave Ste 400
West Hollywood, CA 90038-2458
Phone (725) 209-3053
Other practice location 3
101 Convention Center Dr Ste 900
Las Vegas, NV 89109-2039
Phone (725) 209-3053
Other practice location 4
5852 Corral Way
LA Jolla, CA 92037-7423
Phone (725) 209-3053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Henderson, NV 89011
Phone (725) 209-3053
Las Vegas, NV 89109
Phone (725) 209-3053
West Hollywood, CA 90038
Phone (725) 309-3053
2202 W Craig Rd
North Las Vegas, NV 89032-3018
Phone (702) 826-3200
6125 W Tropicana Ave
Suite a
Las Vegas, NV 89103-4654
Phone (702) 701-8900
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59825 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RFH Orlando LLC | Past | Accepting new patients | |
| Linda L. Johnson MD, LTD | Past | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Henderson, NV
- NPI 1134546575
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1093012874
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
-
- Adult Medicine Physician
- Henderson, NV
- NPI 1376838110
-
- Family Medicine Physician
- Orlando, FL
- NPI 1962249961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1992947535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370644",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891370644",
"telephone_number": "702-360-6003",
"fax_number": "702-360-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7336 W POST RD STE 109",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891136647",
"telephone_number": "702-369-0088",
"fax_number": "702-893-4913"
}
],
"practiceLocations": [
{
"address_1": "5809 W Modoc Ave",
"address_purpose": "LOCATION",
"city": "Visalia",
"state": "CA",
"postal_code": "932918527",
"country_code": "US",
"telephone_number": "725-209-3053",
"fax_number": "855-927-7788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "925 N La Brea Ave Ste 400",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900382458",
"country_code": "US",
"telephone_number": "725-209-3053",
"fax_number": "855-927-7788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Convention Center Dr Ste 900",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891092039",
"country_code": "US",
"telephone_number": "725-209-3053",
"fax_number": "855-927-7788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5852 Corral Way",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920377423",
"country_code": "US",
"telephone_number": "725-209-3053",
"fax_number": "855-927-7788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCKETTE",
"first_name": "ADAM",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.