Individual provider Active NPI

Joshua Grant Jackson, APRN FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1164316857
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
878949 Issued in NV
Practice address
5510 S Fort Apache Rd Ste 103
Las Vegas, NV 89148-7700
Phone
(702) 899-0100
NPI assigned
Jun 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 878949 NV Primary

Addresses

Primary practice location

5510 S Fort Apache Rd Ste 103
Las Vegas, NV 89148-7700

Mailing address

9510 W Sahara Ave Ste 225
Las Vegas, NV 89117-8812
Phone (702) 843-1353

Other practice location 1

9510 W Sahara Ave Ste 225
Las Vegas, NV 89117-8812
Phone (702) 843-1353

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
I20250915002341 NV Practitioner - Nurse Practitioner 0749622728 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platinum Hospitalists LLPGroup PAC ID 7214076322, 197 clinicians

Practice addresses (Care Compare)

7495 W Azure Dr
Suite 209
Las Vegas, NV 89130-4440
Phone (702) 407-7700

Hospital & facility affiliations

  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
  • Saint Rose Dominican Hospitals - San Martin Campus Hospital, Las Vegas, NV, CCN 290053
  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadian LLC CurrentSince Jul 1, 2025 Accepting new patients
Platinum Hospitalists, LLP CurrentSince Jan 1, 2026 Accepting new patients
Instamobile Gregbairdnv PLLC CurrentSince Jan 1, 2026 Accepting new patients
Sabir & Associates Inc CurrentSince Jan 31, 2026 Accepting new patients
Platinum Hospitalists LLP CurrentSince Jan 1, 2026 Accepting new patients
Platinum Hospitalists LLP Past Accepting new patients

Locations

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

5550 S Fort Apache Rd
Ste 103
Las Vegas, NV 89148
Phone (702) 899-0100

4375 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 899-0100

9510 W Sahara Ave
Ste 225
Las Vegas, NV 89117
Phone (702) 518-5144

5510 S Fort Apache Rd
Ste 103
Las Vegas, NV 89148
Phone (702) 899-0100

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

5510 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 604-2498

Organizations & group practices 6

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 6

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": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1164316857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 W SAHARA AVE STE 225",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178812",
            "telephone_number": "702-843-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 S FORT APACHE RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487700",
            "telephone_number": "702-899-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9510 W Sahara Ave Ste 225",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891178812",
            "country_code": "US",
            "telephone_number": "702-843-1353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JOSHUA",
        "middle_name": "GRANT",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "878949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.