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

Lucas Nathan Vine, PA-C

Individual provider Dermatology Physician · NPI 1942001474

Lucas Nathan Vine, PA-C is a Physician Assistant in Stateline, Nevada. Graduated from University of California, Davis School of Medicine in 2024, 2 years ago. Practices with Martin E. Salm, MD, Ltd, a 3-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
2
Trained at
University of California, Davis School of Medicine
Licensed in
NV
In the registry since
2025
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

276 Kingsbury Grade Ste 101
Stateline, NV 89449-9804
Phone: (775) 588-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence PA3176 (NV)

Record details

NPI number1942001474
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 21, 2025
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Martin E. Salm, M.D., Ltd. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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