Active NPI
Marissa Chesebro, CST/CSFA
- Surgical Assistant
- Las Vegas, NV
National Provider Identifier
1033683404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 180733
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 180733 | NV | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Vegas Concierge Orthopedics PLLC | Current | Accepting new patients | |
| Orthopedics & Sports Medicine LLC | Past | Accepting new patients | |
| Healthcare Partners Medical Group (Coats) LTD. | Past | 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.
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-
- Sports Medicine (Orthopaedic Surgery) Physician
- Las Vegas, NV
- NPI 1265419014
-
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
- NPI 1417150319
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.