TERRA L FONSECA (PA-C) – Physician Assistant, NPI 1336539931

TERRA L FONSECA (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. PA1603 (NV). The NPI Number for TERRA L FONSECA (PA-C) is 1336539931

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TERRA L FONSECA (PA-C)
NPI
1336539931
Phone
(702) 804-6555
Address
7751 W FLAMINGO RD STE A100
Enumeration Date
3 February 2015
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028960940
Graduation Year
2014 (12 years ago)
PAC ID
4688993801
Group Practice PAC ID
3375676513
Professional Enrollment ID
I20150508001806
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for TERRA L FONSECA (PA-C)

  • 7751 W FLAMINGO RD STE A100

    LAS VEGAS, NV 891474399

    Phone: (702) 804-6555

    Fax: (702) 804-1222

    Type: Mailing

  • 8530 W SUNSET RD

    STE 250

    LAS VEGAS, NV 891132245

    Phone: (702) 851-0792

    Fax: (702) 851-0797

    Type: Mailing

  • 8530 W SUNSET RD STE 250

    LAS VEGAS, NV 891132245

    Phone: (702) 851-0792

    Fax: (702) 851-0797

    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 $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($30).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2015-05-08

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
I20150508001806IPhysician 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 89147)

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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: 3375676513View full group profile
NameSpecialtyState
Physician AssistantNV
N E U R O S U R G E R YNV
N E U R O S U R G E R YNV
Physician AssistantNV
N E U R O S U R G E R YNV
N E U R O S U R G E R YNV
Physician AssistantNV
N E U R O S U R G E R YNV

Reviews

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Frequently asked questions

What number should I use to identify TERRA L FONSECA (PA-C) for billing?
Administrative and clinical systems typically use NPI 1336539931 for TERRA L FONSECA (PA-C).
Does the public listing show TERRA L FONSECA (PA-C) as active?
TERRA L FONSECA (PA-C)'s NPI record reflects an active status in NPPES.
What services align with TERRA L FONSECA (PA-C)'s listing?
TERRA L FONSECA (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to TERRA L FONSECA (PA-C)?
TERRA L FONSECA (PA-C) shows a connection to Las Vegas, Nevada in registry-derived data.
Who maintains TERRA L FONSECA (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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