Juan Carlos Palma Jorge

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

834743 Issued in NV

Practice address

2560 S Maryland Pkwy Ste 12
Las Vegas, NV 89109-1672

Phone

(832) 677-4685

NPI assigned

Jan 5, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Alba Family Clinic IncGroup PAC ID 2567850001, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nevada Preferred Home Health Care LLC Home health agency, Las Vegas, NV, CCN 297221
• Care 4 You Home Health Inc Home health agency, Las Vegas, NV, CCN 297367

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 and National Provider Directory roles.

• Alba Family Clinic Inc

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1902568132
  Medicare reassignment Care Compare group NPD

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

• Care 4 You Home Health Inc

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1477299642
  Care Compare affiliation
• Nevada Preferred Home Health Care, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1164817342
  Care Compare affiliation

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1134832173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 HARBOR CLIFF DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287460",
            "telephone_number": "832-677-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 S MARYLAND PKWY STE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091672",
            "telephone_number": "832-677-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMA JORGE",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "834743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Tree Medical Center LLC
• Deandre Damar Palm
• Lavatta Carlette Palm
• Ana Isabel Palma Hernandez
• Palma Holdings LLC
• Yoelis Palma Lopez
• Anthony Palma
• Magdalena Palma, CADC
• Neil Palma
• Nelvyn Palma, LPN

• 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 Jan 5, 2023; 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.