Reysel Chavez Medina, MSN-APRN-FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

818580 Issued in NV

Practice address

4415 Hawthorne Way
Las Vegas, NV 89147-4605

Phone

(702) 722-3314

Fax

(702) 722-3752

NPI assigned

Nov 4, 2022

Last updated

Apr 4, 2024By the provider in NPPES

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chavez and Mederos LLCGroup PAC ID 8224480934, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Golden Home Care LLC Home health agency, Las Vegas, NV, CCN 297303
• DD Home Health Care Inc Home health agency, Las Vegas, NV, CCN 297335

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Chavez & Mederos LLC

  dba Chavez & Mederos Clinic

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1215717541
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DD Home Health Care Inc

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1154915569
  Care Compare affiliation
• Golden Home Care L.L.C.

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1992275184
  Care Compare affiliation

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1023725363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9804 CORNWALL CROSSING LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477706",
            "telephone_number": "702-772-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 HAWTHORNE WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891474605",
            "telephone_number": "702-722-3314",
            "fax_number": "702-722-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ MEDINA",
        "first_name": "REYSEL",
        "credential": "MSN-APRN-FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022837",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "818580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackeline Chaves
• Chavez & Mederos LLC (Chavez & Mederos Clinic)
• Raquel Chavez Curiel
• Carmen Chavez de Montenegro
• Henry Chavez III
• Marlen Chavez Mejias
• Odila Chavez Montes
• Maria Chavez Rendon
• Danna Chavez Torres
• Kimberly De Jesus Chavez Yanez

• 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 Apr 4, 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.