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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ELIZABETH THERESE COFFMAN PA-C
NPI 1083125017
Physician Assistant - Medical in Henderson, NV

Active since October 17, 2017PECOS Enrolled
1701 N GREEN VALLEY PKWY STE 7B, HENDERSON, NV 89074(702) 508-9119 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Nov 14, 2024, May 14, 2024 and 6 more (9 updates tracked since 2017).

About Elizabeth Therese Coffman Pa-c NPPES

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

ELIZABETH THERESE COFFMAN PA-C (NPI 1083125017) is an individual medical provider in Henderson, Nevada, licensed in Nevada (PA2844) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083125017
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELIZABETH THERESE COFFMANCredential: PA-C
Location Address1701 N GREEN VALLEY PKWY STE 7BHenderson, NV 89074-5889
Mailing Address1701 N Green Valley Pkwy Ste 7bHenderson, NV 89074-5889 · (702) 508-9119
Phone(702) 508-9119
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 17, 2017
Last NPPES UpdateJuly 24, 20269 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1083125017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NV · PA2844
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6802089761 (MI)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601010553 (MI)
1701 N GREEN VALLEY PKWY STE 7B, Henderson, NV 89074
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Other Names 1

Former Name (1)Elizabeth Therese Kreager Pa-c

Other Identifiers 2

MedicaidPA2844NV
OtherPA2844NV · Physician Assistant License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Elizabeth Therese Coffman Pa-c 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 ID2860898384
PECOS Enrollment IDI20230908002757
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.

COURTNEY RAE MCDERMOTT PA-C
Physician Assistant
1701 N GREEN VALLEY PKWY STE 7B
HENDERSON, NV 89074
Clark County (702) 508-9119
APEKSHA DESAI MD PLLC
Internal Medicine
1701 N GREEN VALLEY PKWY STE 7B
HENDERSON, NV 89074
Clark County (702) 508-9119
MORGAN AUBREY BUSH
Physician Assistant
1701 N GREEN VALLEY PKWY STE 7B
HENDERSON, NV 89074
Clark County (702) 508-9119
MARYLOU VERGARA WILLIAMS NP
Nurse Practitioner (Family)
1701 N GREEN VALLEY PKWY STE 7B
HENDERSON, NV 89074
Clark County (702) 508-9119

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 Elizabeth Coffman's NPI number?

The NPI number for Elizabeth Coffman is 1083125017. It was assigned to this individual provider in the NPPES registry on October 17, 2017. The provider is also known as Elizabeth Therese Kreager Pa-C.

Where is Elizabeth Coffman located?

Elizabeth Coffman practices at 1701 N Green Valley Pkwy Ste 7B, Henderson, NV 89074. The listed phone number is (702) 508-9119.

What is Elizabeth Coffman's specialty?

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

Is Elizabeth Coffman enrolled in Medicare?

Yes. Elizabeth Coffman 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 Elizabeth Coffman accept?

Health plans from Blue Cross Blue Shield of Arizona list Elizabeth Coffman 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 Elizabeth Coffman was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.