PANDORA WILLIAMS (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1093787210

PANDORA WILLIAMS (PHYSICIAN ASSISTANT) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 1613 (AZ). The NPI Number for PANDORA WILLIAMS (PHYSICIAN ASSISTANT) is 1093787210

Main info

Female
49 Years Of Experience
Accepts Medicare Assignment
Name
PANDORA WILLIAMS (PHYSICIAN ASSISTANT)
NPI
1093787210
Phone
(702) 216-3346
Address
PO BOX 98978
Enumeration Date
2 February 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7022021050
Graduation Year
1977 (49 years ago)
PAC ID
4183772569
Group Practice PAC ID
6406225143
Professional Enrollment ID
I20151223000306
Address ID
NV891197825LA4472XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

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Provider Addresses for PANDORA WILLIAMS (PHYSICIAN ASSISTANT)

  • Box Canyon Drive, Las Vegas, Clark County, Nevada, 89108-4577, United States

    LAS VEGAS, NV 891938978

    Phone: (702) 216-3346

    Fax: (702) 671-6883

    Type: Mailing

  • 4880, Wynn Road, Clark County, Nevada, 89103, United States

    LAS VEGAS, NV 891035406

    Phone: (702) 871-5005

    Fax: (702) 871-1341

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,474.

Total Amount is formed as General ($1,474) + Research ($0) + Ownership ($0) = $1,474.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: ABBVIE INC. ($483).

Total Amount

$1,474

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,474

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

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: 2015-12-23

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
I20151223000306IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes2218$0
View full utilization report →

Insurance plans in this area (ZIP 89193)

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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: 6406225143View full group profile
NameSpecialtyState
Physician AssistantNV
Physician AssistantNV
Family PracticeNV
Nurse PractitionerNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

Does PANDORA WILLIAMS (PHYSICIAN ASSISTANT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PANDORA WILLIAMS (PHYSICIAN ASSISTANT) uses 1093787210.
Does the file indicate PANDORA WILLIAMS (PHYSICIAN ASSISTANT) is practicing under active NPI?
Directory data currently reports PANDORA WILLIAMS (PHYSICIAN ASSISTANT) as active.
What healthcare role does PANDORA WILLIAMS (PHYSICIAN ASSISTANT) hold?
Scheduling teams often label PANDORA WILLIAMS (PHYSICIAN ASSISTANT) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect PANDORA WILLIAMS (PHYSICIAN ASSISTANT) on a map?
Expect Las Vegas, Nevada as a primary anchor for PANDORA WILLIAMS (PHYSICIAN ASSISTANT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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