NICOLE WOOSNAM PAC
NPI 1083668149
Physician Assistant in Las Vegas, NV

Active since May 20, 2006PECOS Enrolled
620 SHADOW LN, LAS VEGAS, NV 89106(702) 388-4500 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Woosnam Pac NPPES

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

NICOLE WOOSNAM PAC (NPI 1083668149) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA600) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083668149
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE WOOSNAMCredential: PAC
Location Address620 SHADOW LNLas Vegas, NV 89106-4119
Mailing Address5608 Majestic Tide AveLas Vegas, NV 89131-2517 · (702) 531-8821
Sole ProprietorNo
Enumeration DateMay 20, 2006
Last NPPES UpdateJanuary 2, 2013
NPI 1083668149 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 · PA600
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.

620 SHADOW LN, Las Vegas, NV 89106

Other Identifiers 2

Medicare UPINP06638
Medicare PINFU390ZNV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Woosnam Pac 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
33 services32 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
32 services32 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89106 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.

Nurse Practitioner
620 SHADOW LN
LAS VEGAS, NV 89106
Orthopaedic Surgery
620 SHADOW LN
LAS VEGAS, NV 89106
Emergency Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Internal Medicine (Gastroenterology)
620 SHADOW LN
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
620 SHADOW LN
LAS VEGAS, NV 89106

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 Nicole Woosnam's NPI number?

The NPI number for Nicole Woosnam is 1083668149. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Nicole Woosnam located?

Nicole Woosnam practices at 620 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 388-4500.

What is Nicole Woosnam's specialty?

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

Is Nicole Woosnam enrolled in Medicare?

Yes. Nicole Woosnam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Woosnam was last updated on January 2, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.