RILEY A WATSON (PAC) – Physician Assistant, NPI 1487335238

RILEY A WATSON (PAC) is a healthcare provider. based in Henderson, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA3276 (NV). The NPI Number for RILEY A WATSON (PAC) is 1487335238

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
RILEY A WATSON (PAC)
NPI
1487335238
Phone
(702) 483-6200
Address
715 MALL RING CIR STE 202
Enumeration Date
25 July 2023
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7029637000
Graduation Year
2025 (1 year ago)
PAC ID
2163921008
Group Practice PAC ID
4183763592
Professional Enrollment ID
I20250818001754
Address ID
NV890114800HE1050XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for RILEY A WATSON (PAC)

  • 715 MALL RING CIR STE 202

    HENDERSON, NV 890146667

    Phone: (702) 483-6200

    Type: Mailing

  • PO BOX 100744

    ATLANTA, GA 303840744

    Phone:

    Type: Mailing

  • 3150 N TENAYA WAY STE 320

    LAS VEGAS, NV 891280447

    Phone: (702) 962-2100

    Fax: (702) 962-5620

    Type: Location

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: 2025-08-18

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
I20250818001754IPhysician 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 89014)

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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: 4183763592View full group profile
NameSpecialtyState
Physician AssistantNV
-NV
Nurse PractitionerFL
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)NV
Critical Care (Intensivists)NV
Critical Care (Intensivists), Pulmonary DiseaseNV
Nurse PractitionerNV
Physician AssistantNV
Internal Medicine, Critical Care (Intensivists)IL
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does RILEY A WATSON (PAC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — RILEY A WATSON (PAC) uses 1487335238.
Does the file indicate RILEY A WATSON (PAC) is practicing under active NPI?
Directory data currently reports RILEY A WATSON (PAC) as active.
What taxonomy line describes RILEY A WATSON (PAC)?
For research purposes, treat RILEY A WATSON (PAC) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is RILEY A WATSON (PAC) based?
RILEY A WATSON (PAC) is tied to Henderson, Nevada in the data we show; additional addresses may exist on the full record.
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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