PENNY ANN PUKALL
NPI 1952950370
Physician Assistant in Las Vegas, NV

Active since September 09, 2019PECOS Enrolled
60.05/100
CMS Quality Rating
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 383-1958 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2024, Nov 4, 2021, Apr 29, 2021 and 1 more (4 updates tracked since 2019).

About Penny Ann Pukall NPPES

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

PENNY ANN PUKALL (NPI 1952950370) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA2491) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952950370
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePENNY ANN PUKALL
Location Address1800 W CHARLESTON BLVDLas Vegas, NV 89102-2386
Mailing Address1800 W Charleston BlvdLas Vegas, NV 89102-2329 · (702) 383-2000
Sole ProprietorNo
Enumeration DateSeptember 9, 2019
Last NPPES UpdateOctober 29, 20244 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
NPI 1952950370 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 · PA2491 Licensed in WA · PA61120377
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.
1800 W CHARLESTON BLVD, Las Vegas, NV 89102

Other Names 1

Former Name (1)Penny Ann Eldred

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Penny Ann Pukall 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.

Areas of Expertise CMS Part B claims 3

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

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
66 services62 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services23 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

60.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality36.91
Promoting Interoperability100
Improvement Activities20
Cost54.92

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$26.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Family Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Student in an Organized Health Care Education/Training Program
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Radiology (Diagnostic Radiology)
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Emergency Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Dietitian, Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Dietitian, Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Nurse Anesthetist, Certified Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102

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 Penny Pukall's NPI number?

The NPI number for Penny Pukall is 1952950370. It was assigned to this individual provider in the NPPES registry on September 9, 2019. The provider is also known as Penny Ann Eldred.

Where is Penny Pukall located?

Penny Pukall practices at 1800 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 383-1958.

What is Penny Pukall's specialty?

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

Is Penny Pukall enrolled in Medicare?

Yes. Penny Pukall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Penny Pukall was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.