Individual provider

Patrick Davis, P.A.C.

Physician Assistant Surgical Physician Assistant Medicare enrolled

Patrick Davis, P.A.C. is a Physician Assistant in Boulder City, NV, registered under NPI 1417914730. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 724 KENDALL LN, Boulder City, NV 89005. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

724 KENDALL LN, Boulder City, NV 89005 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PA823 NV Physician Assistant primary
PA823 NV Surgical Physician Assistant

This provider holds licence PA823 issued in NV. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
4688663883
Enrollment ID
I20040512000057

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Physician Assistant covers

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. NUCC Health Care Provider Taxonomy, code 363A00000X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363A00000X Physician Assistant PA823 NV primary
363AS0400X Surgical Physician Assistant Surgical PA823 NV

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417914730 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 28, 2006
Last updatedOct 22, 2019
StatusActive
Sole proprietorNo
CredentialP.A.C.
Practice address 724 KENDALL LN
Boulder City, NV 89005
(702) 604-7422
Fax (702) 549-3178
Mailing address PO BOX 752287
Las Vegas, NV 89136
Other identifiers PA823 · Other (NV)
100502933 · Medicaid (NV)
850273 · Medicaid (AZ)
P00206370 · Other (NV)
CC535Y · Other (NV)
The last update on file is Oct 22, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1417914730 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 9 1 4 7 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 9 1 8 7 6

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417914730?
NPI 1417914730 is the National Provider Identifier assigned to Patrick Davis, P.A.C. in Boulder City, NV. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physician Assistant cover?
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…
How do I contact Patrick Davis, P.A.C.?
The phone number on file with NPPES is (702) 604-7422, last updated Oct 22, 2019. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Patrick Davis, P.A.C. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417914730 a valid number?
Yes. 1417914730 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.