JACOB A PARKS PA
NPI 1073114906
Physician Assistant in Las Vegas, NV

Active since November 06, 2020PECOS EnrolledAccepts Medicare Assignment
4475 S EASTERN AVE, LAS VEGAS, NV 89119(702) 877-5199 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 14, 2021, Nov 6, 2020 (2 updates tracked since 2020).

About Jacob A Parks Pa NPPES

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

JACOB A PARKS PA (NPI 1073114906) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA0492) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1073114906
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB A PARKSCredential: PA
Location Address4475 S EASTERN AVELas Vegas, NV 89119-7826
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5199
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 6, 2020
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
NPI 1073114906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NV · PA0492
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.

4475 S EASTERN AVE, Las Vegas, NV 89119

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

Jacob A Parks 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 ID6608281415
PECOS Enrollment IDI20210208002879, I20260303003778
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 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 20

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

Obstetrics & Gynecology
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4475 S EASTERN AVE, ADULT MEDICINE- POST DISCHARGE CLINIC
LAS VEGAS, NV 89119
Pediatrics
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Internal Medicine
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Physician Assistant
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Nurse Practitioner
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Family Medicine
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Nurse Practitioner
4475 S EASTERN AVE
LAS VEGAS, NV 89119

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 Jacob Parks's NPI number?

The NPI number for Jacob Parks is 1073114906. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Where is Jacob Parks located?

Jacob Parks practices at 4475 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 877-5199.

What is Jacob Parks's specialty?

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

Is Jacob Parks enrolled in Medicare?

Yes. Jacob Parks 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.

When was this NPI record last updated?

The NPPES record for Jacob Parks was last updated on January 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.