Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326480229 Individual Practitioner Male Practitioner

Kyle Johnson , PA-C

Physician Assistant • Las Vegas, NV

Professional Overview & Biography Verified Profile Summary

Kyle Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Las Vegas, NV. Practice services are available at 2212 S EASTERN AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2212 S Eastern Ave

Las Vegas, NV 891044124

Telephone 7027359334
Fax 7027359335
Associated Practice Facility / Clinic
🏢 Nevada Health Centers Inc Facility NPI 1659499903

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
501 Specialists

Practicing in Las Vegas, NV (1097 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
61 60 $1766.72 $146.93
99284 Emergency department visit with moderate level of medical decision making
27 24 $1204.37 $101.59
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
18 16 $115.33 $6.86

Medical Specialties & State Licenses

CMS Verified: 2025-12-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NV PA1444

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CA 54967

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1326480229 (NV)
Commercial Insurance / Payer ID Nv Pa License
PA1444 (NV)
Commercial Insurance / Payer ID Sma Medicare
V111642 (NV)

Practice Associates & Co-Workers

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

20 Associated Practitioners
NPI 1013676733

Doctor of Dental Medicine

Susan Davis , RDH

Dental Hygienist

NPI 1033758669

Registered Dental Hygienist

Dr. Elena Zenkin , MD

Obstetrics & Gynecology

NPI 1063602597

Doctor of Medicine (M.D.)

NPI 1083117808

Doctor of Medicine (M.D.)

Alicia Digiacomo , RDH

Dental Hygienist

NPI 1104332592

Registered Dental Hygienist

NPI 1154773851

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2025

Physician Assistant (License #54967 in CA)

NPI Profile Active October 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2015

Registered at 2212 S EASTERN AVE, LAS VEGAS, NV 891044124 (Tel: 7027359334)

📍
Updated Business Mailing Address October 08, 2015

Registered at 3325 RESEARCH WAY, CARSON CITY, NV 897067913 (Tel: 7758886610)

👤
Provider Name / Credentials Updated October 08, 2015

Recorded as KYLE JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2015

Physician Assistant (License #PA1444 in NV)

🟢
Initial NPI Registration & Enumeration July 22, 2013

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: 1326480229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2013
Last Update: December 09, 2025
Sole Proprietor: No

Mailing Address

3325 Research Way

Carson City, NV 897067913

Phone: 7758886610

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.