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HEATHER POULOS PA-C
NPI 1144889502
Physician Assistant in North Las Vegas, NV

Active since June 10, 2019PECOS Enrolled
2225 CIVIC CENTER DR STE 224, NORTH LAS VEGAS, NV 89030(702) 214-5948(702) 214-9439 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Feb 14, 2025, Mar 25, 2020 and 2 more (5 updates tracked since 2019).

About Heather Poulos Pa-c NPPES

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

HEATHER POULOS PA-C (NPI 1144889502) is an individual physician assistant in North Las Vegas, Nevada, licensed in Nevada (PA2161) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1144889502
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHEATHER POULOSCredential: PA-C
Location Address2225 CIVIC CENTER DR STE 224North Las Vegas, NV 89030-6332
Mailing Address3900 Cambridge St Ste 102Las Vegas, NV 89119-7440 · (702) 307-5414 · Fax (702) 307-5416
Phone(702) 214-5948
Fax(702) 214-9439
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 10, 2019
Last NPPES UpdateSeptember 16, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1144889502 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 · PA2161
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.
2225 CIVIC CENTER DR STE 224, North Las Vegas, NV 89030
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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)

Heather Poulos Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072090240
PECOS Enrollment IDI20260119000707
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 89030 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 5

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

SHADIAMOND MAIDEN
Community Health Worker
2225 CIVIC CENTER DR STE 224
NORTH LAS VEGAS, NV 89030
Clark County (702) 773-8315
TINA MARIE MEEKS APRN
Nurse Practitioner
2225 CIVIC CENTER DR STE 224
NORTH LAS VEGAS, NV 89030
Clark County (702) 214-5948
JOY ELIZABETH SCHMIDT APRN
Nurse Practitioner (Pediatrics)
2225 CIVIC CENTER DR STE 224
NORTH LAS VEGAS, NV 89030
Clark County (702) 214-5948
AFI AMOUZOU
Physician Assistant
2225 CIVIC CENTER DR STE 224
NORTH LAS VEGAS, NV 89030
Clark County (702) 214-5948
SANDRA FAY LEWIS LCSW
Social Worker (Clinical)
2225 CIVIC CENTER DR STE 224
NORTH LAS VEGAS, NV 89030
Clark County (702) 214-5948

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 Heather Poulos's NPI number?

The NPI number for Heather Poulos is 1144889502. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Heather Poulos located?

Heather Poulos practices at 2225 Civic Center Dr Ste 224, North Las Vegas, NV 89030. The listed phone number is (702) 214-5948.

What is Heather Poulos's specialty?

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

Is Heather Poulos enrolled in Medicare?

Yes. Heather Poulos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Poulos was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.