MELANIE HARRIS (PA) – Physician Assistant, NPI 1902623721

MELANIE HARRIS (PA) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MELANIE HARRIS (PA) is 1902623721

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE HARRIS (PA)
NPI
1902623721
Phone
(702) 851-0792
Address
9280 W SUNSET RD STE 210
Enumeration Date
23 September 2024
Last Update Date
7 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028960940
Graduation Year
2024 (2 years ago)
PAC ID
3072036995
Group Practice PAC ID
3375676513
Professional Enrollment ID
I20250401000782
Address ID
NV890523992HE861XXDRXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness85
Years active:1State licenses:0Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for MELANIE HARRIS (PA)

  • 9280 W SUNSET RD STE 210

    LAS VEGAS, NV 891484861

    Phone: (702) 851-0792

    Fax: (702) 851-0797

    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: 2026-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250401000782IPhysician AssistantNVTBD
I20260109003333IPhysician AssistantAZTBD

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 89148)

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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
-NV
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
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

How do I look up MELANIE HARRIS (PA) by NPI?
Use NPI 1902623721 when you need to reference MELANIE HARRIS (PA) in forms, claims, or directories.
Is MELANIE HARRIS (PA) currently active in the NPI registry?
CMS-published data lists MELANIE HARRIS (PA) as an active registrant.
Does MELANIE HARRIS (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for MELANIE HARRIS (PA). Clinical services aligned with this taxonomy classification.
What location shows for MELANIE HARRIS (PA)?
We surface Las Vegas, Nevada for MELANIE HARRIS (PA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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