Individual provider Active NPI

Adam Luckette, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1992947535
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1149 Issued in NV
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

Updated by the provider on Sep 25, 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 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, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20111122000926 NV Practitioner - Physician Assistant 4082888359 Reassigns benefits to 3 organizations
I20250508003585 FL Practitioner - Physician Assistant 4082888359 Reassigns benefits to 1 organization
I20251124002736 CA Practitioner - Physician Assistant 4082888359 Reassigns benefits to 1 organization

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
Telehealth Clinical Evals LLCGroup PAC ID 2860816725, 10 clinicians
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

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 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59825CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RFH Orlando LLC PastSince Jul 21, 2024 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.

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

Verify at the official NPI Registry.