SO JUNG CHANG PA
NPI 1831826791
Physician Assistant in Las Vegas, NV

Active since August 02, 2022PECOS EnrolledAccepts Medicare Assignment
10105 BANBURRY CROSS DR STE 150, LAS VEGAS, NV 89144(702) 877-5199 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Nov 7, 2023, Sep 7, 2023 and 3 more (6 updates tracked since 2022).

About So Jung Chang Pa NPPES

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

SO JUNG CHANG PA (NPI 1831826791) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA3233) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Duke University School Of Medicine (2022).

NPPES Registry Identity

NPI1831826791
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSO JUNG CHANGCredential: PA
Location Address10105 BANBURRY CROSS DR STE 150Las Vegas, NV 89144-6647
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5199
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2022
Enumeration DateAugust 2, 2022
Last NPPES UpdateNovember 21, 20256 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
NPI 1831826791 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 · PA3233 Licensed in TX · PA16258
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.
10105 BANBURRY CROSS DR STE 150, Las Vegas, NV 89144

Secondary Practice Locations 5

Location 11014 E Wheatland RdDuncanville, TX 75116-4914 · Phone (214) 550-2330
Location 21251 E Red Bird Ln Ste ADallas, TX 75241-2008 · Phone (214) 377-0608 · Fax (214) 432-1426
Location 37505 Glenview Dr Ste 151Richland Hills, TX 76180-8335 · Phone (817) 284-9922 · Fax (817) 284-9926
Location 4800 S Duke StDurham, NC 27701-3902 · Phone (919) 681-3161
Location 5255 W. Lebanon Rd, Ste 116Duncanville, TX 75116-7511 · Phone (469) 405-0500 · Fax (469) 405-0501

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

So Jung Chang Pa 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 ID5597138065
PECOS Enrollment IDI20251209002238
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 89144 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 6

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

Family Medicine
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Family Medicine
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Nurse Practitioner (Family)
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Family Medicine
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Nurse Practitioner (Family)
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Physician Assistant
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144

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 So Chang's NPI number?

The NPI number for So Chang is 1831826791. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is So Chang located?

So Chang practices at 10105 Banburry Cross Dr Ste 150, Las Vegas, NV 89144. The listed phone number is (702) 877-5199.

What is So Chang's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is So Chang enrolled in Medicare?

Yes. So Chang 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 So Chang accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Oscar Insurance Company list So Chang 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 So Chang was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.