Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alissa Maree P Nakamura

Individual provider Physician Assistant · NPI 1942086640

Alissa Maree P Nakamura is a Physician Assistant in Henderson, Nevada. Qualified in 2023, 3 years ago. Practices with Coppel Medical Enterprise LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
3
Licensed in
NV
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1655 W Horizon Ridge Pkwy
Henderson, NV 89012-3494
Phone: (702) 476-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA0669 (NV)
Physician Assistant Taxonomy 363A00000X · Licence PA2958 (NV)

Record details

NPI number1942086640
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2023
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Coppel Medical Enterprise Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Henderson