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TRISTAN VIZCONDE CHEESMAN
NPI 1497302962
Physician Assistant in Las Vegas, NV

Active since August 20, 2019PECOS EnrolledAccepts Medicare Assignment
4029 DEAN MARTIN DR, LAS VEGAS, NV 89103(702) 848-2256 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2024, May 8, 2020, Apr 8, 2020 and 1 more (4 updates tracked since 2019).

About Tristan Vizconde Cheesman NPPES

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

TRISTAN VIZCONDE CHEESMAN (NPI 1497302962) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA2176) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497302962
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTRISTAN VIZCONDE CHEESMAN
Location Address4029 DEAN MARTIN DRLas Vegas, NV 89103-4138
Mailing Address3210 Valley View CtMorgan Hill, CA 95037-6628 · (408) 228-7061
Phone(702) 848-2256
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 20, 2019
Last NPPES UpdateMay 14, 20244 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1497302962 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 · PA2176
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 ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA2176 (NV)
4029 DEAN MARTIN DR, Las Vegas, NV 89103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tristan Vizconde Cheesman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103255708
PECOS Enrollment IDI20200402001576
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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
58 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services14 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89103 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 18

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

MR. GRANT A BULLOCK
Psychiatry & Neurology (Psychiatry)
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Clark County (702) 848-2256
ANYWHERE CLINIC WASHINGTON PLLC
Psychiatry & Neurology (Psychiatry)
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Clark County (702) 848-2256
STEFANIE CALEY P.A.-C.
Physician Assistant
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Clark County (702) 848-2256
ANYWHERE CLINIC LLC
Psychiatry & Neurology (Psychiatry)
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Clark County (702) 848-2256
ADA GREENHALGH PA-C
Physician Assistant
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Clark County (702) 848-8856
RITA ALEJANDRA PEREZ APRN
Nurse Practitioner (Psychiatric/Mental Health)
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Clark County (702) 848-2256
MICHELLE LEIGH WEAVER LMSW, CSW INTERN
Community Health Worker
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Clark County (702) 623-2485
SAM ZAND D.O.
Psychiatry & Neurology (Psychiatry)
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103
Clark County (702) 919-1508

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 Tristan Cheesman's NPI number?

The NPI number for Tristan Cheesman is 1497302962. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Tristan Cheesman located?

Tristan Cheesman practices at 4029 Dean Martin Dr, Las Vegas, NV 89103. The listed phone number is (702) 848-2256.

What is Tristan Cheesman's specialty?

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

Is Tristan Cheesman enrolled in Medicare?

Yes. Tristan Cheesman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tristan Cheesman accept?

Health plans from Providence Health Plan list Tristan Cheesman 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 Tristan Cheesman was last updated on May 14, 2024. 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.