DR. NICHOLAS SCHULACK (DO) – Emergency Medicine Physician, NPI 1063943561

DR. NICHOLAS SCHULACK (DO) is a healthcare provider. based in Las vegas, Nevada. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. DO2620 (NV). The NPI Number for DR. NICHOLAS SCHULACK (DO) is 1063943561

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS SCHULACK (DO)
NPI
1063943561
Phone
(702) 383-7885
Address
901 RANCHO LN
Enumeration Date
25 March 2017
Last Update Date
10 June 2020

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
5302445400
Graduation Year
2017 (9 years ago)
PAC ID
2163797812
Group Practice PAC ID
4284171166
Professional Enrollment ID
I20200629002558
Address ID
CA952032405ST525XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

520 EMERGENCY MEDICINE in NV

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Provider Addresses for DR. NICHOLAS SCHULACK (DO)

  • 901, Rancho Lane, Las Vegas, Clark County, Nevada, 89106, United States

    LAS VEGAS, NV 891063836

    Phone: (702) 383-7885

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-06-29

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
I20200629002558IEmergency MedicineCATBD

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 making601575$0
99291Critical care, first 30-74 minutes228220$0
99284Emergency department visit with moderate level of medical decision making9694$0
31500Emergent insertion of breathing tube into windpipe using an endoscope2727$0
View full utilization report →

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: 4284171166View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerCA
Emergency MedicineCA
Emergency MedicineMD
Emergency MedicineIA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineOH
Emergency MedicineOR
Emergency MedicineCA

Reviews

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Frequently asked questions

How do I look up DR. NICHOLAS SCHULACK (DO) by NPI?
Use NPI 1063943561 when you need to reference DR. NICHOLAS SCHULACK (DO) in forms, claims, or directories.
Is DR. NICHOLAS SCHULACK (DO)'s NPI currently valid?
The extract we use shows DR. NICHOLAS SCHULACK (DO) as active.
What kind of provider is DR. NICHOLAS SCHULACK (DO)?
The page reflects Emergency Medicine Physician for DR. NICHOLAS SCHULACK (DO). Clinical services aligned with this taxonomy classification.
Where does public data place DR. NICHOLAS SCHULACK (DO)?
The snapshot lists Las Vegas, Nevada for DR. NICHOLAS SCHULACK (DO); download NPPES for the complete set.
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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