Individual provider Active NPI

Jesus Alexie Romero, ARNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1164901161
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
821846 Issued in NV
Practice address
2200 Paseo Verde Pkwy Ste 190
Henderson, NV 89052-2703
Phone
(702) 589-4871
Fax
(702) 589-4872
NPI assigned
Aug 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP11647 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 821846 NV Primary

Addresses

Primary practice location

2200 Paseo Verde Pkwy Ste 190
Henderson, NV 89052-2703

Mailing address

4531 N 16TH St Ste 114
Phoenix, AZ 85016-5344
Phone (602) 266-8700

Other practice location 1

6266 W Blackhawk Dr
Glendale, AZ 85308-6798
Phone (208) 890-5616

Other practice location 2

6535 W Camelback Rd Ste 4
Phoenix, AZ 85033-1608
Phone (623) 231-5535

Other practice location 3

18555 N 79th Ave Ste D107
Glendale, AZ 85308-6040
Phone (602) 777-3477

Other practice location 4

16620 N 40th St Ste E-1
Phoenix, AZ 85032-3348
Phone (602) 464-9576

Other practice location 5

2450 E Guadalupe Rd Ste 103
Gilbert, AZ 85234-5116
Phone (480) 907-6818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210709002974 AZ Practitioner - Nurse Practitioner 5496157687 Reassigns benefits to 1 organization
I20220510002390 NV Practitioner - Nurse Practitioner 5496157687 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

10158 W Ross Ave
Peoria, AZ 85382-2557
Phone (702) 329-7125

10161 Park Run Dr
Suite 150
Las Vegas, NV 89145-8872
Phone (702) 329-7125

2300 W Sahara Ave
Suite 800
Las Vegas, NV 89102-4397
Phone (866) 630-0966

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11647AZMDPsychiatric/Mental Health Nurse Practitioner
821846NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Innovation Single Specialty CurrentSince Jul 19, 2023 Accepting new patients
Sondermind Provider Network LLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Behavioral Health Solutions LLC Single Specialty CurrentSince May 4, 2022 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince May 4, 2022 Accepting new patients
New Dawn MH Reno PC Single Specialty CurrentSince May 1, 2023 Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

10161 Park Run Dr
Ste 150
Las Vegas, NV 89145
Phone (408) 833-3158

550 W Plumb Ln
Ste B274
Reno, NV 89509
Phone (775) 682-0728

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1164901161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 N 16TH ST STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165344",
            "telephone_number": "602-266-8700",
            "fax_number": "602-296-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PASEO VERDE PKWY STE 190",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522703",
            "telephone_number": "702-589-4871",
            "fax_number": "702-589-4872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6266 W Blackhawk Dr",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853086798",
            "country_code": "US",
            "telephone_number": "208-890-5616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6535 W Camelback Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850331608",
            "country_code": "US",
            "telephone_number": "623-231-5535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18555 N 79th Ave Ste D107",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853086040",
            "country_code": "US",
            "telephone_number": "602-777-3477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16620 N 40th St Ste E-1",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850323348",
            "country_code": "US",
            "telephone_number": "602-464-9576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 E Guadalupe Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852345116",
            "country_code": "US",
            "telephone_number": "480-907-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "JESUS",
        "middle_name": "ALEXIE",
        "credential": "ARNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11647",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "821846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.