Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Louise Watson, PA-C, MPAS

Individual provider Surgical Physician Assistant · NPI 1194159350

Nicole Louise Watson, PA-C, MPAS is a Physician Assistant in Las Vegas, Nevada. Qualified in 2013, 13 years ago. Practices with Irv Edwards MD PC, a 33-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
13
Licensed in
CA, NV
In the registry since
2013
Specialties on file
2
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

620 Shadow Ln
Las Vegas, NV 89106-4119
Phone: (023) 884-0007
Fax: (702) 476-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 W Charleston Blvd, Las Vegas, NV 89102-2386 — (702) 383-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1628 (NV)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA23154 (CA)

Record details

NPI number1194159350
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPAS
Sole proprietorNo
NPI enumeratedAugust 23, 2013
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Irv Edwards Md Pc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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