Individual provider Active NPI

Jennifer L. Cribb, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1093047086
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN000853 Issued in NV
Practice address
5536 S Fort Apache Rd Ste 102
Las Vegas, NV 89148
Phone
(702) 456-8299
Fax
(702) 722-2558
NPI assigned
Feb 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN000853 NV Primary
Family Nurse Practitioner 363LF0000X APN000853 NV

Addresses

Primary practice location

5536 S Fort Apache Rd Ste 102
Las Vegas, NV 89148

Mailing address

5536 S Fort Apache Rd Ste 102
Las Vegas, NV 89148-7687
Phone (702) 456-8299

Other practice location 1

2010 Goldring Ave Ste 100
Las Vegas, NV 89106-4002
Phone (702) 588-7373

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170427000484 NV Practitioner - Nurse Practitioner 7214159177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 N Buffalo Dr
Las Vegas, NV 89145-0373
Phone 70224227372

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.22 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN000853NVMDFamily Nurse Practitioner
APRN000853NVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Spec of Southern NV Grossman Panikkar Ghadishah Whi CurrentSince Dec 1, 2021 Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

201 N Buffalo Dr
Las Vegas, NV 89145
Phone (702) 242-2737

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1093047086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5536 S FORT APACHE RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487687",
            "telephone_number": "702-456-8299",
            "fax_number": "702-722-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 S FORT APACHE RD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-456-8299",
            "fax_number": "702-722-2558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Goldring Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064002",
            "country_code": "US",
            "telephone_number": "702-588-7373",
            "fax_number": "702-588-7748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIBB",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "APRN000853",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN000853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.