CORY MITCHELL WHITLOCK PAC
NPI 1205204781
Physician Assistant in Henderson, NV

Q: What is Cory Whitlock's NPI number?

The NPI number for Cory Whitlock is 1205204781. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Q: What is Cory Whitlock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cory Whitlock was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 14, 2015PECOS Enrolled

2481 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052(775) 848-6971(702) 680-1377 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Cory Mitchell Whitlock Pac NPPES

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

CORY MITCHELL WHITLOCK PAC (NPI 1205204781) is an individual physician assistant in Henderson, Nevada, licensed in Nevada (PA1821) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205204781

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCORY MITCHELL WHITLOCKCredential: PAC

Location Address2481 W HORIZON RIDGE PKWY STE 100Henderson, NV 89052-5926

Mailing Address427 Blackridge RdHenderson, NV 89015-7632 · (775) 848-6971 · Fax (702) 680-1377

Phone(775) 848-6971

Fax(702) 680-1377

Sole ProprietorYes

Enumeration DateSeptember 14, 2015

Last NPPES UpdateMay 1, 2025

NPPES CertifiedMay 1, 2025

✔ NPI 1205204781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NV · PA1821

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.

Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License PA1821 (NV)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2481 W HORIZON RIDGE PKWY STE 100, Henderson, NV 89052

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Secondary Practice Locations 2

Location 1639 Isbell Rd Ste 380Reno, NV 89509-4982 · Phone (832) 869-4818 · Fax (832) 241-2902

Location 24311 11th Ave NE, 200Seattle, WA 98105-6366 · Phone (206) 616-4001 · Fax (206) 616-3889

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cory Mitchell Whitlock 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.

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 7

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

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