ANDINWOH OROCK (PA-C) – Physician Assistant, NPI 1154369619

ANDINWOH OROCK (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. PA931 (NV). The NPI Number for ANDINWOH OROCK (PA-C) is 1154369619

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ANDINWOH OROCK (PA-C)
NPI
1154369619
Phone
(702) 216-3346
Address
PO BOX 98978
Enumeration Date
4 June 2006
Last Update Date
30 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7025665500
Graduation Year
2005 (21 years ago)
PAC ID
8022039445
Group Practice PAC ID
5991866303
Professional Enrollment ID
I20051213000877
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ANDINWOH OROCK (PA-C)

  • 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

  • Lake Mead Parkway, Henderson, Clark County, Nevada, 89012, United States

    HENDERSON, NV 890157015

    Phone: (702) 566-5500

    Fax: (702) 558-7238

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2023-02-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($124).

Total Amount

$124

General + Research + Ownership

Payments

1

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-09

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: 2005-12-13

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
I20051213000877IPhysician 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 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: 5991866303View full group profile

Reviews

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Frequently asked questions

Where can patients find ANDINWOH OROCK (PA-C)'s NPI?
You can confirm ANDINWOH OROCK (PA-C) with NPI 1154369619; it appears in the national provider directory.
Is ANDINWOH OROCK (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize ANDINWOH OROCK (PA-C)'s specialty in plain language?
Clinically, the directory lists ANDINWOH OROCK (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is ANDINWOH OROCK (PA-C)'s primary listing?
We display Las Vegas, Nevada because that is what the record indicates for ANDINWOH OROCK (PA-C).
How can I contact ANDINWOH OROCK (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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