NPIMap

Individual provider Active NPI

Rose Leih Jusayan, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1144657149
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001582 Issued in NV
Practice address
7251 W Lake Mead Blvd Ste 300
Las Vegas, NV 89128-8380
Phone
(702) 629-6992
NPI assigned
Oct 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X APRN001582 NV
Nurse Practitioner 363L00000X APRN001582 NV Primary

Addresses

Primary practice location

7251 W Lake Mead Blvd Ste 300
Las Vegas, NV 89128-8380

Mailing address

8550 W Charleston Blvd Ste 108
Las Vegas, NV 89117-9080
Phone (725) 210-4900

Other practice location 1

8550 W Charleston Blvd Ste 108
Las Vegas, NV 89117-9080
Phone (252) 104-9007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140210000376 NV Practitioner - Nurse Practitioner 3072742204 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Farzin Farhang MD PLLCGroup PAC ID 3476742271, 12 clinicians
Res Wound Care PLLCGroup PAC ID 8123548914, 6 clinicians

Practice addresses (Care Compare)

1050 W Galleria Dr
Henderson, NV 89011-4800
Phone (702) 629-6992

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 408-1096

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 408-1096

6900 N Durango Dr
Las Vegas, NV 89149-4409
Phone (702) 408-1096

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 408-1096

98 Aneto St
Las Vegas, NV 89138-6349

Hospital & facility affiliations

  • Lorian Health Home health agency, Las Vegas, NV, CCN 297099
  • Ultimate Home Health Home health agency, Las Vegas, NV, CCN 297260
  • Valley Health at Home by Bayada Home health agency, Las Vegas, NV, CCN 297106
  • Allegiant Home Health Home health agency, Las Vegas, NV, CCN 297266
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047

Merit-based Incentive Payment System (MIPS)

Final score
96.94 of 100Reported as group
Quality
100
Improvement activities
40
Cost
56.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN001582NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Res Wound Care PLLC Single Specialty CurrentSince Nov 20, 2024 Accepting new patients

Locations

6650 Grand Montecito Pkwy
Las Vegas, NV 89149
Phone (702) 333-1290

6166 N Durango Dr
Las Vegas, NV 89149
Phone (702) 202-4534

8550 W Charleston Blvd
Ste 108
Las Vegas, NV 89117
Phone (480) 593-5400

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1144657149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 W CHARLESTON BLVD STE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179080",
            "telephone_number": "725-210-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 W LAKE MEAD BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288380",
            "telephone_number": "702-629-6992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8550 W Charleston Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891179080",
            "country_code": "US",
            "telephone_number": "252-104-9007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSAYAN",
        "first_name": "ROSE LEIH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "APRN001582",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.