CHELSEA LYNN SANDUSKY PA-C
NPI 1962716266
Physician Assistant - Medical in Las Vegas, NV

Q: What is Chelsea Sandusky's NPI number?

The NPI number for Chelsea Sandusky is 1962716266. It was assigned to this individual provider in the NPPES registry on July 29, 2010.

Q: What is Chelsea Sandusky's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Chelsea Sandusky was last updated on April 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 29, 2010PECOS Enrolled

4475 S EASTERN AVE, LAS VEGAS, NV 89119(702) 669-5811(702) 650-2458 Get Directions Write a Review

NPPES record last updated: April 23, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Chelsea Lynn Sandusky Pa-c NPPES

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

CHELSEA LYNN SANDUSKY PA-C (NPI 1962716266) is an individual medical provider in Las Vegas, Nevada, licensed in Nevada (PA1222) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962716266

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCHELSEA LYNN SANDUSKYCredential: PA-C

Location Address4475 S EASTERN AVELas Vegas, NV 89119-7826

Mailing AddressPo Box 15645Las Vegas, NV 89114-5645 · (702) 579-3270

Phone(702) 669-5811

Fax(702) 650-2458

Sole ProprietorNo

Enumeration DateJuly 29, 2010

Last NPPES UpdateApril 23, 2015

✔ NPI 1962716266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NV · PA1222

4475 S EASTERN AVE, Las Vegas, NV 89119

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Other Identifiers 2

Medicaid1962716266NV

Medicare PINV110159NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chelsea Lynn Sandusky Pa-c 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.