John R Phoenix, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN001359 Issued in NV

Practice address

1909 Cochran St
Las Vegas, NV 89104-3538

Phone

(702) 278-9684

Fax

(702) 330-4499

NPI assigned

Feb 7, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Superior Emergency Physicians Harris PLLCGroup PAC ID 9739461252, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12653/brand/1/csg/1/fhir/r4

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.

• John Phoenix Aprn PLLC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1134553068
  Medicare reassignment NPD Authorized official
• Superior Emergency Physicians Harris, PLLC

  • Emergency Medicine Physician
  • North Las Vegas, NV
  • NPI 1356885222
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1013289024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 COCHRAN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043538",
            "telephone_number": "702-278-9684",
            "fax_number": "702-330-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 COCHRAN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043538",
            "telephone_number": "702-278-9684",
            "fax_number": "702-330-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOENIX",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001359",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Behavioral Group LV LLC (United Medical Group lv)
• Phoenix Care LLC
• Phoenix Mental Health, PLLC
• Phoenix Pharmaceuticals Inc (phoenix Pharmacy)
• Phoenix Vision LLC (Evolve BodyMD)
• Sophear Phoeuk
• Sue Phommachanh
• Manisengkeo Phommasaysy
• Marlene May Phone
• Phong Tran Cao PLLC (5 Star Dental)

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; 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.