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

John Scully, PA-C

Individual provider Physician Assistant · NPI 1285182360

John Scully, PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 2016, 10 years ago. Practices with Sunrise Mountainview Multispecialty Clinics LLC, a 64-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone: (815) 219-6743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5380 S Rainbow Blvd Ste 306, Las Vegas, NV 89118-1880 — (702) 888-1188

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1285182360
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 16, 2016
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sunrise Mountainview Multispecialty Clinics Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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