Individual provider Active NPI

Cheyanne Rene Fletcher, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1003575846
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000028016 Issued in TN
Practice address
2881 Business Park CT Ste 100
Las Vegas, NV 89128-9019
Phone
(702) 510-4508
Fax
(702) 724-0522
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 833978 NV
Family Nurse Practitioner 363LF0000X APN0000028016 TN Primary

Addresses

Primary practice location

2881 Business Park CT Ste 100
Las Vegas, NV 89128-9019

Mailing address

2881 Business Park CT Ste 100
Las Vegas, NV 89128-9019
Phone (702) 510-4508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512001338 NV Practitioner - Nurse Practitioner 1658758636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2881 Business Park CT
Suite 100
Las Vegas, NV 89128-9019
Phone (702) 510-4508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000028016TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Health and Wellness Center LLC Single Specialty CurrentSince Nov 13, 2024 Accepting new patients

Locations

2881 Business Park Ct
Ste 100
Las Vegas, NV 89128
Phone (702) 510-4508

Interoperability endpoints

  • Direct secure messaging: cheyanne.fletcher@pasm-nv.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1003575846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 BUSINESS PARK CT STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289019",
            "telephone_number": "702-510-4508",
            "fax_number": "702-724-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 BUSINESS PARK CT STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289019",
            "telephone_number": "702-510-4508",
            "fax_number": "702-724-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "CHEYANNE",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "833978",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000028016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.