| Ppm Nevada LLC | |
|
3610 S Nevada Highway 160 Pahrump NV 89048-4805 | |
| (888) 253-6598 | |
| (801) 931-2263 |
| Full Name | Ppm Nevada LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3610 S Nevada Highway 160, Pahrump, Nevada |
| Authorized Official Name and Position | Amber Tueller (CORPORATE SECRETARY) |
| Authorized Official Contact | 2082072726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppm Nevada LLC 1916 N 700 W Ste 110 Layton UT 84041-5754 Ph: (888) 253-6598 | Ppm Nevada LLC 3610 S Nevada Highway 160 Pahrump NV 89048-4805 Ph: (888) 253-6598 |
| NPI Number | 1760276646 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 10/12/2026 |
| Certification Date | 10/12/2026 |
| Medicare PECOS PAC ID | 3577078856 |
|---|---|
| Medicare Enrollment ID | O20250715003686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760276646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Catherine King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225236862 PECOS PAC ID: 5991755126 Enrollment ID: I20120912000048 |
| Provider Name | Tyler Patten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386488971 PECOS PAC ID: 1456896208 Enrollment ID: I20240822000646 |
Specialty Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280 E Calvada Blvd, Pahrump, NV 89048 Phone: 775-751-3377 Fax: 775-751-2323 |
Spring Mountain Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1151 S Nevada Highway 160, Pahrump, NV 89048 Phone: 775-727-8900 Fax: 775-727-9452 |
Family Physicians of Southern Nevada Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1470 E Calvada Blvd, Suite 100, Pahrump, NV 89048 Phone: 702-751-6111 Fax: 775-751-6115 |
Canyon Gate Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 S Lola Ln, Suite# 200, Pahrump, NV 89048 Phone: 954-656-8855 |
Ryse N Shine Wellness LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 70 S Highway 160, Unit 101, Pahrump, NV 89048 Phone: 760-382-5115 Fax: 702-825-7893 |
Mountain Valley Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 S Lola Ln, Pahrump, NV 89048 Phone: 775-751-7580 Fax: 775-751-7820 |