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SHADOW EMERGENCY PHYSICIANS PLLC
NPI 1649059809
Emergency Medicine in North Las Vegas, NV

Active since September 27, 2023
6625 N 5TH ST, NORTH LAS VEGAS, NV 89084(702) 388-4000 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 15, 2026, Sep 10, 2025, Apr 29, 2024 (3 updates tracked since 2024).

About Shadow Emergency Physicians Pllc NPPES

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

SHADOW EMERGENCY PHYSICIANS PLLC (NPI 1649059809) is a healthcare organization registered as an emergency medicine in North Las Vegas, Nevada and active in the NPI registry since September 2023. The organization lists Edwin Homansky, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1649059809
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSHADOW EMERGENCY PHYSICIANS PLLC
Location Address6625 N 5TH STNorth Las Vegas, NV 89084-1341
Mailing AddressPo Box 848252Los Angeles, CA 90084-8252 · (954) 939-5000 · Fax (877) 250-6889
Phone(702) 388-4000
Organization SubpartNo
Authorized OfficialEdwin HomanskyAuthorized Official · (469) 401-2386
Enumeration DateSeptember 27, 2023
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1649059809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6625 N 5TH ST, North Las Vegas, NV 89084
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadow Emergency Physicians Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

160

Medicare enrollment records show 160 clinicians reassign Medicare billing to Shadow Emergency Physicians PLLC, which bills Medicare for the services they deliver. Of these, 71 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Emergency Medicine120
Nurse Practitioner34
Pediatric Medicine6

Nearest to this location (20)

See all 160
Lindsey Perry, APRN
Nurse Practitioner
NPI 1982198263
4632 VENTANA REY ST
North Las Vegas, NV 89081
(702) 810-1404
✔ PECOS2.5 mi
Anthon Lemon, MD
Emergency Medicine
NPI 1225394000
4700 LAS VEGAS BLVD N
Nellis Afb, NV 89191
(702) 653-2344
✔ PECOS✔ Accepts Medicare5.5 mi
Matthew Figlewicz, DO
Emergency Medicine
NPI 1184185142
4700 LAS VEGAS BLVD N
Nellis Afb, NV 89191
(702) 653-2273
✔ PECOS✔ Accepts Medicare5.5 mi
Shellee Anne Quaglia
Nurse Practitioner
NPI 1174124333
7050 W CRAIG RD
Las Vegas, NV 89129
(702) 233-7000
✔ PECOS✔ Accepts Medicare6.9 mi
Benjamin Barringer, MD
Emergency Medicine
NPI 1699139824
4700 LAS VEGAS BLVD N
Nellis Afb, NV 89191
(702) 653-2273
✔ PECOS✔ Accepts Medicare7.1 mi
Adam Flood, D.O.
Emergency Medicine
NPI 1881914075
4700 LAS VEGAS BLVD N
Nellis Afb, NV 89191
(702) 653-2313
✔ PECOS✔ Accepts Medicare7.1 mi
Aaron Johnson, DO
Emergency Medicine
NPI 1861885444
4700 LAS VEGAS BLVD N
Nellis Afb, NV 89191
(702) 653-2344
✔ PECOS✔ Accepts Medicare7.1 mi
Taylor Roth, M.D.
Emergency Medicine
NPI 1437684057
4700 LAS VEGAS BLVD N
Nellis Afb, NV 89191
(702) 653-2273
✔ PECOS✔ Accepts Medicare7.1 mi
Schon Roberts, MD
Emergency Medicine
NPI 1780001818
4700 LAS VEGAS BLVD N
Nellis Afb, NV 89191
(702) 653-2344
✔ PECOS✔ Accepts Medicare7.4 mi
Tyler Bean, DO
Emergency Medicine
NPI 1528645710
3100 N TENAYA WAY
Las Vegas, NV 89128
(702) 962-9540
✔ PECOS✔ Accepts Medicare7.8 mi
Jordan Downey, DO
Emergency Medicine
NPI 1851928915
3100 N. TENAYA WAY GRADUATE MEDICAL EDUCATIONS
Las Vegas, NV 89128
(702) 962-9540
✔ PECOS✔ Accepts Medicare7.8 mi
Jann Pickens, NP
Nurse Practitioner
NPI 1003250143
620 SHADOW LN
Las Vegas, NV 89106
(702) 388-4506
✔ PECOS✔ Accepts Medicare8.2 mi
Fernando Holguin, FNP
Nurse Practitioner
NPI 1609339209
620 SHADOW LN
Las Vegas, NV 89106
(954) 939-5000
✔ PECOS✔ Accepts Medicare8.3 mi
Jonathan Arcay, NP
Nurse Practitioner
NPI 1780028811
620 SHADOW LN
Las Vegas, NV 89106
(702) 388-4506
✔ PECOS8.3 mi
Torrie Clontz, APRN
Nurse Practitioner
NPI 1972235638
620 SHADOW LN
Las Vegas, NV 89106
(702) 388-4000
✔ PECOS8.3 mi
Sandra Horning, MD
Pediatric Medicine
NPI 1497766596
1800 W CHARLESTON BLVD
Las Vegas, NV 89102
(702) 383-1958
✔ PECOS8.6 mi
Don Walker, MD
Pediatric Medicine
NPI 1710419049
1800 W CHARLESTON BLVD
Las Vegas, NV 89102
(702) 383-1958
✔ PECOS8.6 mi
Karah Smith, NP-C
Nurse Practitioner
NPI 1699294744
2050 MARINER DR
Las Vegas, NV 89128
(702) 228-9066
✔ PECOS9.2 mi
Jenifer Carvell, NP-C
Nurse Practitioner
NPI 1326407768
500 N RAINBOW BLVD STE #203
Las Vegas, NV 89107
(702) 259-1228
✔ PECOS✔ Accepts Medicare9.2 mi
Michele Jordan, APRN, FNP
Nurse Practitioner
NPI 1124419684
500 N RAINBOW BLVD STE. 203
Las Vegas, NV 89107
(702) 259-1228
✔ PECOS9.2 mi
See all 160 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shadow Emergency Physicians PLLC's NPI number?

The NPI number for Shadow Emergency Physicians PLLC is 1649059809. It was assigned to this organization in the NPPES registry on September 27, 2023.

Where is Shadow Emergency Physicians PLLC located?

Shadow Emergency Physicians PLLC is located at 6625 N 5th St, North Las Vegas, NV 89084. The listed phone number is (702) 388-4000.

What is Shadow Emergency Physicians PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shadow Emergency Physicians PLLC enrolled in Medicare?

Yes. Shadow Emergency Physicians PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shadow Emergency Physicians PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 160 clinicians in 3 Medicare specialties reassign their Medicare billing to Shadow Emergency Physicians PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (120), Nurse Practitioner (34) and Pediatric Medicine (6). Of these, 71 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shadow Emergency Physicians PLLC was last updated on April 15, 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.