Individual provider Active NPI

Marissa Chesebro, CST/CSFA

  • Surgical Assistant
  • Las Vegas, NV
National Provider Identifier
1033683404
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
180733 Issued in NV
Practice address
9260 W Sunset Rd Ste 309
Las Vegas, NV 89148-4858
Phone
(702) 963-1231
Fax
(702) 442-9309
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 180733 NV Primary

Addresses

Primary practice location

9260 W Sunset Rd Ste 309
Las Vegas, NV 89148-4858

Mailing address

9260 W Sunset Rd
Las Vegas, NV 89148-4858
Phone (702) 321-1368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180733NVMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Concierge Orthopedics PLLC CurrentSince Oct 24, 2021 Accepting new patients
Orthopedics & Sports Medicine LLC Past Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince Oct 24, 2021 Accepting new patients
Orthopedics & Sports Medicine LLC Past Accepting new patients

Locations

9260 W Sunset Rd
Ste 309
Las Vegas, NV 89148
Phone (702) 963-1231

Organizations & group practices 4

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": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1033683404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 W SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484858",
            "telephone_number": "702-321-1368",
            "fax_number": "702-442-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 W SUNSET RD STE 309",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484858",
            "telephone_number": "702-963-1231",
            "fax_number": "702-442-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESEBRO",
        "first_name": "MARISSA",
        "credential": "CST/CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NV",
            "license": "180733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.