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LINDA KIM LY PA-C
NPI 1891651626
Physician Assistant in Las Vegas, NV

Active since December 24, 2025PECOS 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: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, Dec 24, 2025 (2 updates tracked since 2025).

About Linda Kim Ly Pa-c NPPES

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

LINDA KIM LY PA-C (NPI 1891651626) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (1242490) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2025).

NPPES Registry Identity

NPI1891651626
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLINDA KIM LYCredential: PA-C
Location Address10105 BANBURRY CROSS DR STE 150Las Vegas, NV 89144-6647
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 877-5199
Phone(702) 877-5199
Sole ProprietorYes
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2025
Enumeration DateDecember 24, 2025
Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1891651626 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 · 1242490
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
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Linda Kim Ly 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 ID6103307897
PECOS Enrollment IDI20260220001524
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.

JENNIFER TRANG MARBELLA MD
Family Medicine
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Clark County (702) 877-5199
DR. JOHN CHARLES RHODES M.D.
Family Medicine
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Clark County (702) 243-8500
KIMBERLY D LEWIS FAMILY NP
Nurse Practitioner (Family)
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Clark County (702) 877-5199
MICHELE M K SHIMIZU MD
Family Medicine
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Clark County (702) 877-5199
MS. MARVI LAPUZ REYES FNP
Nurse Practitioner (Family)
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Clark County (702) 877-5199
SO JUNG CHANG PA
Physician Assistant
10105 BANBURRY CROSS DR STE 150
LAS VEGAS, NV 89144
Clark County (702) 877-5199

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 Linda Ly's NPI number?

The NPI number for Linda Ly is 1891651626. It was assigned to this individual provider in the NPPES registry on December 24, 2025.

Where is Linda Ly located?

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

What is Linda Ly's specialty?

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

Is Linda Ly enrolled in Medicare?

Yes. Linda Ly 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.

When was this NPI record last updated?

The NPPES record for Linda Ly was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.