EDWARD LEE (PA-C) – Medical Physician Assistant, NPI 1013744481

EDWARD LEE (PA-C) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA3086 (NV). The NPI Number for EDWARD LEE (PA-C) is 1013744481

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD LEE (PA-C)
NPI
1013744481
Phone
(702) 310-9110
Address
1701 WELLNESS WAY STE 200
Enumeration Date
18 September 2024
Last Update Date
18 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023109110
Graduation Year
2024 (2 years ago)
PAC ID
9830622729
Group Practice PAC ID
9335039783
Professional Enrollment ID
I20241101001760
Address ID
NV891064146LA1701XWAYX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for EDWARD LEE (PA-C)

  • 1701 WELLNESS WAY STE 200

    LAS VEGAS, NV 891064146

    Phone: (702) 310-9110

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($39).

Total Amount

$103

General + Research + Ownership

Payments

5

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

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: 2024-11-01

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
I20241101001760IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89106)

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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: 9335039783View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerNV
Physician AssistantNV
Physician AssistantNV
P S Y C H I A T R YNV
Interventional Pain Management, Internal MedicineNV
Nurse PractitionerNV
Interventional Pain Management, Internal MedicineNV
-NV
-NV

Reviews

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Frequently asked questions

What unique ID ties claims to EDWARD LEE (PA-C)?
NPI 1013744481 is assigned to EDWARD LEE (PA-C) under the national enumeration system.
Does this profile mean EDWARD LEE (PA-C) is currently active?
Yes — EDWARD LEE (PA-C) appears active in the national provider directory.
Can you summarize EDWARD LEE (PA-C)'s specialty in plain language?
Clinically, the directory lists EDWARD LEE (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does EDWARD LEE (PA-C) practice in Nevada?
You will see Las Vegas, Nevada on file for EDWARD LEE (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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