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Active NPI 1942001474 Individual Practitioner Male Practitioner

Lucas Nathan Vine , PA-C

Dermatology • Stateline, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lucas Vine, PA-C is a certified Dermatology practicing in Stateline, NV. With approximately 2 years of clinical experience since graduating from University Of California, Davis School Of Medicine in 2024, Lucas Vine delivers high-quality medical care to the local community at 276 KINGSBURY GRADE STE 101.

Lucas Vine is affiliated with Martin E. Salm, M.D., Ltd. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

276 Kingsbury Grade Ste 101

Stateline, NV 894499804

Telephone 7755885000
Associated Practice Facility / Clinic
🏢 Martin E. Salm, M.d., Ltd. Facility NPI 1063595924

Medicare Profile & Education

Medical School

University Of California, Davis School Of Medicine

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Stateline, NV

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -21.0 yrs vs City Avg
City Avg: 23.0 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Stateline, NV (93 Statewide)

Telehealth Adoption Rate
0.0% 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. Vine (2 Years) 2 Yrs
Stateline Specialty Average (23.0 Years) 23.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-21
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NV PA3176

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Martin E. Salm, M.d., Ltd.

276 Kingsbury Grade, Stateline, NV 894499800

Phone: 7755885000

Practice Associates & Co-Workers

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

4 Associated Practitioners
Jeanne Horton , PA-C

Physician Assistant

NPI 1053532622

Physician Assistant (Certified)

Lauren Lee , RPAC

Physician Assistant

NPI 1073820536
NPI 1518152420

Doctor of Medicine (M.D.)

Dr. Benjamin Bradford , MD

Otolaryngology - Facial Plastic Surgery

NPI 1629336128

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 21, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2025

Registered at 276 KINGSBURY GRADE STE 101, STATELINE, NV 894499804 (Tel: 7755885000)

📍
Updated Business Mailing Address March 21, 2025

Registered at 276 KINGSBURY GRADE STE 101, STATELINE, NV 894499804 (Tel: 7755885000)

👤
Provider Name / Credentials Updated March 21, 2025

Recorded as LUCAS VINE, PA- C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2025

Dermatology (License #PA3176 in NV)

🟢
Initial NPI Registration & Enumeration March 21, 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: 1942001474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2025
Last Update: March 21, 2025
Sole Proprietor: No

Mailing Address

276 Kingsbury Grade Ste 101

Stateline, NV 894499804

Phone: 7755885000

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.