MRS. JANICE LUANNE SANDOVAL (PA-C) – Physician Assistant, NPI 1013305267

MRS. JANICE LUANNE SANDOVAL (PA-C) is a healthcare provider. based in Las vegas, Nevada. specializing in Physician Assistant. They hold the professional credentials PA-C. The NPI Number for MRS. JANICE LUANNE SANDOVAL (PA-C) is 1013305267

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JANICE LUANNE SANDOVAL (PA-C)
NPI
1013305267
Phone
(702) 848-2256
Address
4029 Dean Martin Dr
Enumeration Date
22 December 2014
Last Update Date
25 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028482256
Graduation Year
2014 (12 years ago)
PAC ID
1759607674
Group Practice PAC ID
4183996317
Professional Enrollment ID
I20150311001365
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

Provider Addresses for MRS. JANICE LUANNE SANDOVAL (PA-C)

  • 4029 Dean Martin Dr

    Las Vegas, NV 891034138

    Phone: (702) 848-2256

    Type: Location

  • 5974 MOON GARDEN ST

    LAS VEGAS, NV 891484529

    Phone: (702) 561-3796

    Type: Mailing

  • 3001 SAINT ROSE PKWY

    HENDERSON, NV 890523839

    Phone: (702) 616-5600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Boston Scientific Corporation ($36).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150311001365IPhysician AssistantNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making8281$0
99284Emergency department visit with moderate level of medical decision making8180$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2827$0
View full utilization report →

Insurance plans in this area (ZIP 89103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183996317View full group profile
NameSpecialtyState
Physician AssistantGA
P S Y C H I A T R YNV
Physician AssistantNV
Physician AssistantNV
Physician AssistantAZ
Physician AssistantNV
Physician AssistantNV
Physician AssistantNV
Physician AssistantNV
Physician AssistantMD

Reviews

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Frequently asked questions

Is MRS. JANICE LUANNE SANDOVAL (PA-C) listed with a National Provider Identifier?
Yes — MRS. JANICE LUANNE SANDOVAL (PA-C) has NPI 1013305267 on file in the registry.
Is MRS. JANICE LUANNE SANDOVAL (PA-C) shown as active in public data?
Registry records indicate MRS. JANICE LUANNE SANDOVAL (PA-C) maintains an active NPI.
What kind of doctor is MRS. JANICE LUANNE SANDOVAL (PA-C)?
MRS. JANICE LUANNE SANDOVAL (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. JANICE LUANNE SANDOVAL (PA-C) associated with Las Vegas?
Public fields place MRS. JANICE LUANNE SANDOVAL (PA-C) around Las Vegas, Nevada. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MRS. JANICE LUANNE SANDOVAL (PA-C) is noted as December 22, 2014 where the registry provides it.

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