Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083504740 Individual Practitioner Female Practitioner

Brooke Melanie Wallace , PA

Physician Assistant • Henderson, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brooke Wallace, PA is a certified Physician Assistant practicing in Henderson, NV. With approximately 1 years of clinical experience since completing medical education in 2025, Brooke Wallace delivers high-quality medical care to the local community at 1348 PASEO VERDE PKWY STE 100.

Brooke Wallace is affiliated with Nevada Health Tanita Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1348 Paseo Verde Pkwy Ste 100

Henderson, NV 890125723

Telephone 7028476252
Fax 7028476254
Associated Practice Facility / Clinic
🏢 Nevada Health Tanita Pllc Facility NPI 1104384924

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Henderson, NV

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -8.6 yrs vs City Avg
City Avg: 9.6 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
154 Specialists

Practicing in Henderson, NV (1097 Statewide)

Telehealth Adoption Rate
13.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (1 Years) 1 Yrs
Henderson Specialty Average (9.6 Years) 9.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Hospital & Practice Group Affiliations

Nevada Health Tanita Pllc

1348 Paseo Verde Pkwy, Henderson, NV 890125723

Phone: 7028476252

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Amy Monrreal , PA-C

Physician Assistant - Medical

NPI 1134542160

Physician Assistant (Certified)

Dr. Reesa Goravanchi , MD

Obstetrics & Gynecology

NPI 1306250972

Doctor of Medicine (M.D.)

Dr. Gabriela Pena , MD

Obstetrics & Gynecology

NPI 1386105716

Doctor of Medicine (M.D.)

Cody Murray , PA-C

Physician Assistant

NPI 1508519653

Physician Assistant (Certified)

Dr. Felix Hernandez , DO

Obstetrics & Gynecology

NPI 1558710111

Doctor of Osteopathic Medicine (D.O.)

Janelle Wanzek , PA-C

Physician Assistant

NPI 1578145488

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address April 23, 2026

Registered at 1348 PASEO VERDE PKWY STE 100, HENDERSON, NV 890125723 (Tel: 7028476252)

📍
Updated Practice Location April 06, 2026

Registered at 1348 PASEO VERDE PKWY STE 100, HENDERSON, NV 890125723 (Tel: 7028476252)

NPI Profile Active July 05, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2025

Registered at 650 S GREEN VALLEY PKWY STE 120, HENDERSON, NV 890520425 (Tel: 7028476252)

📍
Updated Business Mailing Address July 05, 2025

Registered at 650 S GREEN VALLEY PKWY STE 120, HENDERSON, NV 890520425

👤
Provider Name / Credentials Updated July 05, 2025

Recorded as BROOKE WALLACE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 05, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083504740
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2025
Last Update: April 23, 2026
Sole Proprietor: Yes

Mailing Address

1348 Paseo Verde Pkwy Ste 100

Henderson, NV 890125723

Phone: 7028476252

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.