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MR. TANNER BRYCE EBANKS PA-C
NPI 1447102256
Physician Assistant in Las Vegas, NV

Active since February 12, 2026PECOS Enrolled
1617 E WINDMILL LN STE 100, LAS VEGAS, NV 89123(702) 645-7800 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tanner Bryce Ebanks Pa-c NPPES

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

MR. TANNER BRYCE EBANKS PA-C (NPI 1447102256) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA3370) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2025).

NPPES Registry Identity

NPI1447102256
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TANNER BRYCE EBANKSCredential: PA-C
Location Address1617 E WINDMILL LN STE 100Las Vegas, NV 89123-1933
Mailing Address507 Emden StHenderson, NV 89015-4642
Phone(702) 645-7800
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2025
Enumeration DateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1447102256 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 · PA3370
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.
1617 E WINDMILL LN STE 100, Las Vegas, NV 89123
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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)

Mr. Tanner Bryce Ebanks Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901371293
PECOS Enrollment IDI20260403002851
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 89123 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 2

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

HAND SURGERY SPECIALISTS OF NEVADA YOUNG LLP
Orthopaedic Surgery (Hand Surgery)
1617 E WINDMILL LN STE 100
LAS VEGAS, NV 89123
Clark County (702) 645-7800
DAVID M FADELL D.O.
Orthopaedic Surgery
1617 E WINDMILL LN STE 100
LAS VEGAS, NV 89123
Clark County (702) 645-7800

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 Tanner Ebanks's NPI number?

The NPI number for Tanner Ebanks is 1447102256. It was assigned to this individual provider in the NPPES registry on February 12, 2026.

Where is Tanner Ebanks located?

Tanner Ebanks practices at 1617 E Windmill Ln Ste 100, Las Vegas, NV 89123. The listed phone number is (702) 645-7800.

What is Tanner Ebanks's specialty?

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

Is Tanner Ebanks enrolled in Medicare?

Yes. Tanner Ebanks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tanner Ebanks was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.