TAYLOR RAEANNE FONG PA
NPI 1689399289
Physician Assistant in Las Vegas, NV

Q: What is Taylor Fong's NPI number?

The NPI number for Taylor Fong is 1689399289. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Q: What is Taylor Fong'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 Taylor Fong was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 05, 2022PECOS Enrolled

1 BREAKTHROUGH WAY, LAS VEGAS, NV 89135(702) 732-1493(702) 732-1080 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2023, Oct 5, 2022 (2 updates tracked since 2022).

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About Taylor Raeanne Fong Pa NPPES

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

TAYLOR RAEANNE FONG PA (NPI 1689399289) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA2787) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1689399289

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTAYLOR RAEANNE FONGCredential: PA

Location Address1 BREAKTHROUGH WAYLas Vegas, NV 89135-3011

Mailing Address10170 W Tropicana Ave # 156-252Las Vegas, NV 89147-8465 · (702) 732-1493 · Fax (702) 732-1080

Phone(702) 732-1493

Fax(702) 732-1080

Sole ProprietorNo

Enumeration DateOctober 5, 2022

Last NPPES UpdateMarch 16, 20232 updates tracked since enumeration

NPPES CertifiedMarch 16, 2023

✔ NPI 1689399289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NV · PA2787

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.

1 BREAKTHROUGH WAY, Las Vegas, NV 89135

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Secondary Practice Location 1

Location 14425 S Pecos Rd Ste 6Las Vegas, NV 89121-5037 · Phone (702) 333-7000 · Fax (702) 732-1493

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Raeanne Fong Pa 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 89135 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.

ALLIANCE FOR CHILDHOOD DISEASES

Pediatrics (Pediatric Hematology-Oncology)