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

Maryellen Spika, PA-C

Individual provider Surgical Physician Assistant · NPI 1144781642

Maryellen Spika, PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 2018, 8 years ago. Licensed in Nevada.

Years since qualifying
8
Licensed in
NV
In the registry since
2019
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

7190 S Cimarron Rd
Las Vegas, NV 89113-2171
Phone: (702) 675-3240
Fax: (702) 982-6347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA3016 (NV)

Record details

NPI number1144781642
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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