WAYNE EDWARD BOULTON PA-C
NPI 1528277134
Physician Assistant in Las Vegas, NV

Q: What is Wayne Boulton's NPI number?

The NPI number for Wayne Boulton is 1528277134. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Wayne Boulton'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 Wayne Boulton was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 May 21, 2007PECOS Enrolled

2716 N TENAYA WAY, LAS VEGAS, NV 89128(702) 877-8600(702) 242-7944 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2024, Aug 20, 2021 (2 updates tracked since 2021).

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About Wayne Edward Boulton Pa-c NPPES

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

WAYNE EDWARD BOULTON PA-C (NPI 1528277134) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA 1456) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528277134

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameWAYNE EDWARD BOULTONCredential: PA-C

Location Address2716 N TENAYA WAYLas Vegas, NV 89128-0424

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 383-6210 · Fax (702) 435-7050

Phone(702) 877-8600

Fax(702) 242-7944

Sole ProprietorNo

Enumeration DateMay 21, 2007

Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration

NPPES CertifiedDecember 2, 2024

✔ NPI 1528277134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NV · PA 1456✔ Licensed in AK · 730

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.

2716 N TENAYA WAY, Las Vegas, NV 89128

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Other Identifiers 1

Medicaid1528277134NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wayne Edward Boulton Pa-c 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 89128 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 20

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

JOANNE M HYLTON APN

Nurse Practitioner (Gerontology)