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

Lucas Porter, PA-C

Individual provider Athletic Trainer · NPI 1225541808

Lucas Porter, PA-C is a Physician Assistant in Las Vegas, Nevada. Graduated from Medical University of South Carolina College of Medicine in 2021, 5 years ago. Practices with Nevada Orthopedic and Spine Center, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Nevada.

Years since qualifying
5
Trained at
Medical University of South Carolina College of Medicine
Licensed in
ID, NV
In the registry since
2017
Specialties on file
3
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

2680 Crimson Canyon Dr
Las Vegas, NV 89128-0841
Phone: (208) 814-5075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2020 Palomino Ln Ste 110, Las Vegas, NV 89106-4892 — (702) 474-7200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2514 (NV)
Athletic Trainer Taxonomy 2255A2300X · Licence AT-569 (ID)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1225541808
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2017
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Nevada Orthopedic And Spine Center — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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