Mesquite Clinic Management Company LLC
A Medicare group practice based in Mesquite, NV: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8123456456), with 24 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8123456456
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NV
- Enrollments
- 3
- Group size
- 23 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 7
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20200319000698 | NV | Part B Supplier - Clinic/Group Practice | 1548800501 |
| O20210726003520 | NV | Part A Provider - Rural Health Clinic | 1982275236 |
| O20210726003299 | NV | Part A Provider - Rural Health Clinic | 1528639879 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Mesquite Clinic Management Company LLC
- Rural Health Clinic/Center
- Mesquite, NV
- NPI 1528639879
-
Mesquite Clinic Management Company LLC
- Internal Medicine Physician
- Mesquite, NV
- NPI 1548800501
-
Mesquite Clinic Management Company LLC
- Rural Health Clinic/Center
- Logandale, NV
- NPI 1982275236
Practice locations
- Mesquite, NV5
- Logandale, NV2
Clinicians 24
Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (23).
-
Spencer Andersen, D.O.
- Surgery Physician
- Page, AZ
- NPI 1295130961
-
Jill Glazier Blasdell
- Family Nurse Practitioner
- Kanab, UT
- NPI 1295465417
-
Matthew David Brockway
- Internal Medicine Physician
- Mesquite, NV
- NPI 1861079097
-
Bryt Christensen, M.D.
- Interventional Pain Medicine Physician
- St George, UT
- NPI 1710203047
-
Todd Michael Cravens, PA-C
- Physician Assistant
- Mesquite, NV
- NPI 1780268599
-
Dagmar Crosby, MD
- Family Medicine Physician
- Saint George, UT
- NPI 1154303352
-
Rae Marie Delaney, NP
- Family Nurse Practitioner
- Mesquite, NV
- NPI 1053769133
-
Edward Bryce Dotson, NP
- Nurse Practitioner
- Mesquite, NV
- NPI 1558171348
-
Derek Lee Frieden, MD
- Interventional Pain Medicine Physician
- St. George, UT
- NPI 1528059201
-
Shayef A Gabasha, MD
- Interventional Cardiology Physician
- Las Vegas, NV
- NPI 1639596265
-
Nathan Henry, APRN
- Family Nurse Practitioner
- Mesquite, NV
- NPI 1063095982
-
Janel Irene Hillstrom, FNP, PMHNP
- Nurse Practitioner
- St George, UT
- NPI 1992959324
-
Joseph Jeppa Jeppson, DO
- Hospitalist Physician
- Mesquite, NV
- NPI 1063682672
-
Sean Alton Kiesel, DO
- Family Medicine Physician
- St George, UT
- NPI 1740817535
-
Soon Kim, M.D.
- Surgery Physician
- Gardnerville, NV
- NPI 1649381153
-
Catherine King, APN
- Adult Health Nurse Practitioner
- Mesquite, NV
- NPI 1225236862
-
Wade Karl Leavitt, PA-C
- Physician Assistant
- Logandale, NV
- NPI 1801786454
-
Alene Davis Marrott, FNP-C
- Family Nurse Practitioner
- El Paso, TX
- NPI 1922755560
-
Madeline Jean Richey
- Nurse Practitioner
- St George, UT
- NPI 1629781216
-
Andrew N Rose, PA C
- Medical Physician Assistant
- Logandale, NV
- NPI 1881663185
-
Joel Wayne Speir, DO
- Internal Medicine Physician
- Mesquite, NV
- NPI 1700463965
-
Dylan Rex Stewart
- Family Nurse Practitioner
- Saint George, UT
- NPI 1881393635
-
Jerry Thomas, NP
- Family Nurse Practitioner
- Mesquite, NV
- NPI 1891475257
-
Jeffrey A Wright, PA-C
- Physician Assistant
- St. George, UT
- NPI 1003898198
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.