Jason Craig Wickens, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

11776 Issued in NV

Practice address

653 N Town Center Dr Ste 518
Las Vegas, NV 89144-0519

Phone

(702) 369-0200

Fax

(702) 243-8383

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV, UT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

Columbia University College of Physicians and Surgeons, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Consultants of Nevada LLPGroup PAC ID 5193616449, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

98.37

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Retina Consultants of Nevada LLP

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1053359489
  Medicare reassignment Care Compare group NPD
• Pokroy Medical Group of Nevada, LTD.

  • Neonatal-Perinatal Medicine Physician
  • Las Vegas, NV
  • NPI 1992809412
  Medicare reassignment NPD
• Retina Consultants of Nevada LLP

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1093387532
  NPD
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1770626426
  NPD (past)
• Retina Consultants of Nevada LLP

  • Ophthalmology Physician
  • Carson City, NV
  • NPI 1215504196
  NPD (past)
• Spring Valley Medical Center

  • Rehabilitation Hospital Unit
  • Las Vegas, NV
  • NPI 1568439693
  NPD (past)
• Summerlin Hospital Medical Center L L C

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  NPD (past)
• Sunrise Hospital and Medical Center, LLC

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1689611774
  NPD (past)
• Barnes Jewish Hospital

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1649299827
  NPD (past)
• Retina & Vitreous Consultants Inc

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1255452603
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1003860313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 518",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440519",
            "telephone_number": "702-202-4776",
            "fax_number": "702-243-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 518",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440519",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3006 S Maryland Pkwy Ste 710",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092246",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Coronado Center Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524291",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6220 N Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891493916",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 S Pointe Cir Ste 210",
            "address_purpose": "LOCATION",
            "city": "Laughlin",
            "state": "NV",
            "postal_code": "890290423",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Bertha Howe Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890277503",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1791 E 280 N",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847902400",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3640 S Nevada Highway 160 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890485381",
            "country_code": "US",
            "telephone_number": "702-369-0200",
            "fax_number": "702-243-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKENS",
        "first_name": "JASON",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "11776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003860313",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda J Wiafe, LPC
• Chad Wiberg, D.C.
• Maria Wibowo
• Tannie Wichern, RBT
• David Ray Wichman, DO
• Angela Dee Wicker
• Amelia Wickersham
• Ryan Howard Wickes
• Barry D Wicklund
• Marissa Wicklund

• Ophthalmology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ophthalmology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.