MS. SHAQAYEQ RUDD
NPI 1790475564
Physician Assistant in Las Vegas, NV

Active since May 15, 2023PECOS EnrolledAccepts Medicare Assignment
4475 S EASTERN AVE, LAS VEGAS, NV 89119(702) 877-5199 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 6, 2024, May 15, 2023 (2 updates tracked since 2023).

About Ms. Shaqayeq Rudd NPPES

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

MS. SHAQAYEQ RUDD (NPI 1790475564) is an individual physician assistant in Las Vegas, Nevada and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2023).

NPPES Registry Identity

NPI1790475564
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SHAQAYEQ RUDD
Location Address4475 S EASTERN AVELas Vegas, NV 89119-7826
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 954-7672
Sole ProprietorYes
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2023
Enumeration DateMay 15, 2023
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
NPI 1790475564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

4475 S EASTERN AVE, Las Vegas, NV 89119

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

Ms. Shaqayeq Rudd 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 ID3375987126
PECOS Enrollment IDI20240220002187
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
67 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 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.

Pediatrics
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4475 S EASTERN AVE, ADULT MEDICINE- POST DISCHARGE CLINIC
LAS VEGAS, NV 89119
Dietitian, Registered
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Psychiatry & Neurology (Neurology)
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Physician Assistant
4475 S EASTERN AVE, SUITE 222
LAS VEGAS, NV 89119
Psychiatry & Neurology (Neurology)
4475 S EASTERN AVE, NEUROLOGY CLINIC
LAS VEGAS, NV 89119
Pediatrics
4475 S EASTERN AVE
LAS VEGAS, NV 89119
Internal Medicine
4475 S EASTERN AVE
LAS VEGAS, NV 89119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790475564, enumerated as an "individual" on May 15, 2023.

The provider is located at 4475 S EASTERN AVE LAS VEGAS, NV 89119 and the phone number is (702) 877-5199.

Physician Assistant with taxonomy code 363A00000X.