SAMUEL SIMMONS PA-C
NPI 1619305828
Physician Assistant - Medical in Pahrump, NV

Active since October 25, 2013PECOS EnrolledAccepts Medicare Assignment
1280 E CALVADA BLVD, PAHRUMP, NV 89048(775) 751-3377(775) 751-2323 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samuel Simmons Pa-c NPPES

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

SAMUEL SIMMONS PA-C (NPI 1619305828) is an individual medical provider in Pahrump, Nevada, licensed in Nevada (PA1690) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Skagway, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1619305828
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSAMUEL SIMMONSCredential: PA-C
Location Address1280 E CALVADA BLVDPahrump, NV 89048-5693
Mailing AddressPo Box 98978Las Vegas, NV 89193-8978 · (702) 216-3346 · Fax (702) 671-6883
Fax(775) 751-2323
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 25, 2013
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
NPI 1619305828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NV · PA1690
Also ListedPhysician AssistantTaxonomy 363A00000X · License 200272 (AK), PA-1085 (ID)
1280 E CALVADA BLVD, Pahrump, NV 89048

Secondary Practice Location 1

Location 1350 14th AveSkagway, AK 99840-0537 · Phone (907) 983-2255 · Fax (907) 983-2793

Other Identifiers 2

Medicaid1736158AK
Medicaid1619305828NV

Accepted 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

Samuel Simmons Pa-c 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 ID3476780800
PECOS Enrollment IDI20240307003692
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.

Other Providers at the Same Location NPPES 11

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

Internal Medicine
1280 E CALVADA BLVD
PAHRUMP, NV 89048
Family Medicine
1280 E CALVADA BLVD
PAHRUMP, NV 89048
Counselor (Professional)
1280 E CALVADA BLVD
PAHRUMP, NV 89048
Case Manager/Care Coordinator
1280 E CALVADA BLVD
PAHRUMP, NV 89048
Pediatrics
1280 E CALVADA BLVD
PAHRUMP, NV 89048
Clinic/Center (Rural Health)
1280 E CALVADA BLVD
PAHRUMP, NV 89048
Nurse Practitioner (Family)
1280 E CALVADA BLVD
PAHRUMP, NV 89048
Registered Nurse
1280 E CALVADA BLVD
PAHRUMP, NV 89048

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 Samuel Simmons's NPI number?

The NPI number for Samuel Simmons is 1619305828. It was assigned to this individual provider in the NPPES registry on October 25, 2013.

Where is Samuel Simmons located?

Samuel Simmons practices at 1280 E Calvada Blvd, Pahrump, NV 89048. The listed phone number is (775) 751-3377.

What is Samuel Simmons's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Samuel Simmons enrolled in Medicare?

Yes. Samuel Simmons 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 Samuel Simmons accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Samuel Simmons 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 Samuel Simmons was last updated on October 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.