PROSTHETIC CENTER OF EXCELLENCE
NPI 1457348823
Prosthetic/Orthotic Supplier in Las Vegas, NV

Active since September 30, 2005
2047 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102(702) 384-1410(702) 384-0479 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 14, 2023, Jun 2, 2021, Apr 10, 2021 (3 updates tracked since 2021).

About Prosthetic Center Of Excellence NPPES

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

PROSTHETIC CENTER OF EXCELLENCE (NPI 1457348823) is a healthcare organization registered as a prosthetic/orthotic supplier in Las Vegas, Nevada and active in the NPI registry since September 2005. The organization lists Grace Angeline, Provider Contract Analyst Iii, as its authorized official.

NPPES Registry Identity

NPI1457348823
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePROSTHETIC CENTER OF EXCELLENCE, A NEVADA CORPORATION
Location Address2047 W CHARLESTON BLVD STE 100Las Vegas, NV 89102-2251
Mailing AddressPo Box 650846Dallas, TX 75265-0846
Fax(702) 384-0479
Organization SubpartYesParent: Hanger Inc
Authorized OfficialGrace AngelineProvider Contract Analyst Iii · (714) 961-2102
Enumeration DateSeptember 30, 2005
Last NPPES UpdateNovember 14, 20233 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1457348823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2047 W CHARLESTON BLVD STE 100, Las Vegas, NV 89102

Other Names 2

Doing Business AsProsthetic Center Of Excellence
Doing Business AsHanger Clinic

Other Identifiers 1

Medicaid003302169NV

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Prosthetic Center Of Excellence carries, from the Medicare DMEPOS supplier directory.

Prosthetic Center Of Excellence

DMEPOS supplier · Las Vegas, NVOperated by Prosthetic Center Of Excellence, A Nevada Corporation
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Does not accept Medicare assignment

Prosthetic Center Of Excellence has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20633741
Medicare Participant SinceMay 17, 1999
Supplier Location2047 W Charleston Blvd Ste 100Las Vegas, NV 89102
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Neuromuscular Elect Stimulators (NMES)/Supplies
Electrodes, lead wires, adhesive tape
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Breast Prostheses and/or Accessories
Prosthetic bra, Surgical bra
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

Orthotic Fitter
2047 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 89102
Prosthetist
2047 W CHARLESTON BLVD STE 100
LAS VEGAS, NV 89102

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 Prosthetic Center Of Excellence, A Nevada Corporation's NPI number?

The NPI number for Prosthetic Center Of Excellence, A Nevada Corporation is 1457348823. It was assigned to this organization in the NPPES registry on September 30, 2005. The provider is doing business as Prosthetic Center Of Excellence and Hanger Clinic.

Where is Prosthetic Center Of Excellence, A Nevada Corporation located?

Prosthetic Center Of Excellence, A Nevada Corporation is located at 2047 W Charleston Blvd Ste 100, Las Vegas, NV 89102. The listed phone number is (702) 384-1410.

What is Prosthetic Center Of Excellence, A Nevada Corporation's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Prosthetic Center Of Excellence, A Nevada Corporation accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Prosthetic Center Of Excellence does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Prosthetic Center Of Excellence, A Nevada Corporation accept?

Health plans from Ambetter from Arizona Complete Health list Prosthetic Center Of Excellence, A Nevada Corporation 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 Prosthetic Center Of Excellence, A Nevada Corporation was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.