Individual provider Active NPI

Jackie L Aragon, APRN, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1134618531
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002869 Issued in NV
Practice address
410 S Rampart Blvd Ste 390
Las Vegas, NV 89145-5749
Phone
(702) 901-9451
NPI assigned
May 2, 2018
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN002869 NV Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN002869 NV
Registered Nurse 163W00000X RN38178 NV

Addresses

Primary practice location

410 S Rampart Blvd Ste 390
Las Vegas, NV 89145-5749

Mailing address

608 Proud Eagle LN
Las Vegas, NV 89144-0912
Phone (702) 575-4360

Other names 1

  • Jackie L Aragon Former name

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
I20180515002224 NV Practitioner - Nurse Practitioner 4587928791 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 S Rampart Blvd
Suite 390
Las Vegas, NV 89145-5749
Phone (702) 901-9451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN38178NVMDRegistered Nurse
APRN002869NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acv Nevada Bernstein PLLC CurrentSince Sep 7, 2021 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Dec 1, 2018 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Jun 1, 2019 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 1, 2019 Accepting new patients
New Day New Horizon LLC Family CurrentSince Aug 6, 2024 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients

Locations

1525 E Beltline Ave NE
Ste 101
Grand Rapids, MI 49525
Phone (616) 363-0055

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

410 S Rampart Blvd
Ste 390
Las Vegas, NV 89145
Phone (702) 722-2200

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

4275 Burnham Ave
Ste 102
Las Vegas, NV 89119
Phone (702) 878-8346

7061 Grand Montecito Pkwy
Las Vegas, NV 89149
Phone (702) 750-3800

1445 W Craig Rd
Ste 101
North Las Vegas, NV 89032
Phone (702) 639-2223

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1134618531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 PROUD EAGLE LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440912",
            "telephone_number": "702-575-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S RAMPART BLVD STE 390",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455749",
            "telephone_number": "702-901-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGON",
        "first_name": "JACKIE",
        "middle_name": "L",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002869",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN002869",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN38178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "ARAGON",
            "middle_name": "L",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.