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BROCK LAMONT VANCE PA-C
NPI 1003512245
Physician Assistant - Medical in West Wendover, NV

Active since January 31, 2023PECOS Enrolled
925 WELLS AVENUE, WEST WENDOVER, NV 89883(775) 664-2220(775) 664-2965 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2025, Jan 31, 2023 (2 updates tracked since 2023).

About Brock Lamont Vance Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROCK LAMONT VANCE PA-C (NPI 1003512245) is an individual medical provider in West Wendover, Nevada, licensed in Nevada (PA2775) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003512245
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBROCK LAMONT VANCECredential: PA-C
Location Address925 WELLS AVENUEWest Wendover, NV 89883
Mailing AddressPo Box 2734West Wendover, NV 89883-2734
Phone(775) 664-2220
Fax(775) 664-2965
Sole ProprietorNo
Enumeration DateJanuary 31, 2023
Last NPPES UpdateJanuary 2, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1003512245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NV · PA2775
925 WELLS AVENUE, West Wendover, NV 89883
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brock Lamont Vance Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEVADA HEALTH CENTERS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
925 WELLS AVENUE, BOX 3520
WEST WENDOVER, NV 89883
Elko County (775) 664-2220
CHAD FRANCOM PA-C
Physician Assistant
925 WELLS AVENUE
W. WENDOVER, NV 89883
Elko County (775) 664-2220
DANIEL JACOB DENSLEY PA-C
Physician Assistant (Medical)
925 WELLS AVENUE, P.O. BOX 3520
WEST WENDOVER, NV 89883
Elko County (775) 664-2220
NEVADA HEALTH CENTERS, INC.
Pharmacy (Clinic Pharmacy)
925 WELLS AVENUE
W. WENDOVER, NV 89883
Elko County (775) 664-2220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brock Vance's NPI number?

The NPI number for Brock Vance is 1003512245. It was assigned to this individual provider in the NPPES registry on January 31, 2023.

Where is Brock Vance located?

Brock Vance practices at 925 Wells Avenue, West Wendover, NV 89883. The listed phone number is (775) 664-2220.

What is Brock Vance's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brock Vance enrolled in Medicare?

Yes. Brock Vance is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brock Vance was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.