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RODEZZA SACAYAN TABANO PA
NPI 1013696301
Physician Assistant in Henderson, NV

Active since July 13, 2023PECOS EnrolledAccepts Medicare Assignment
3175 SAINT ROSE PKWY STE 121, HENDERSON, NV 89052(702) 802-5100 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, Oct 9, 2025, Jul 20, 2023 and 1 more (4 updates tracked since 2023).

About Rodezza Sacayan Tabano Pa NPPES

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

RODEZZA SACAYAN TABANO PA (NPI 1013696301) is an individual physician assistant in Henderson, Nevada, licensed in Nevada (PA2992) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1013696301
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRODEZZA SACAYAN TABANOCredential: PA
Location Address3175 SAINT ROSE PKWY STE 121Henderson, NV 89052-3507
Mailing Address3175 Saint Rose Pkwy Ste 121Henderson, NV 89052-3507
Phone(702) 802-5100
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 13, 2023
Last NPPES UpdateNovember 6, 20254 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1013696301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NV · PA2992
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3175 SAINT ROSE PKWY STE 121, Henderson, NV 89052
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rodezza Sacayan Tabano Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658801873
PECOS Enrollment IDI20250203003454
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MEHRDAD MARK FERDOWSIAN DO
Emergency Medicine
3175 SAINT ROSE PKWY STE 121
HENDERSON, NV 89052
Clark County (702) 802-5100
VANVAN BAOHA NGUYEN PA-C
Physician Assistant
3175 SAINT ROSE PKWY STE 121
HENDERSON, NV 89052
Clark County (702) 802-5100
KELLY JEANNE NOEL PA
Physician Assistant
3175 SAINT ROSE PKWY STE 121
HENDERSON, NV 89052
Clark County (702) 320-8111
MAI TUYET LE PA-C
Physician Assistant
3175 SAINT ROSE PKWY STE 121
HENDERSON, NV 89052
Clark County (702) 802-5100

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 Rodezza Tabano's NPI number?

The NPI number for Rodezza Tabano is 1013696301. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Rodezza Tabano located?

Rodezza Tabano practices at 3175 Saint Rose Pkwy Ste 121, Henderson, NV 89052. The listed phone number is (702) 802-5100.

What is Rodezza Tabano's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rodezza Tabano enrolled in Medicare?

Yes. Rodezza Tabano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rodezza Tabano accept?

Health plans from Ambetter from Arizona Complete Health list Rodezza Tabano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rodezza Tabano was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.