Individual provider Active NPI

Jissy Thomas

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1184156838
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN002479 Issued in NV
Practice address
7391 W Charleston Blvd Ste 140
Las Vegas, NV 89117-1577
Phone
(702) 304-2144
NPI assigned
Mar 31, 2017
Last updated
Aug 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN002479 NV Primary
Family Nurse Practitioner 363LF0000X APRN002479 NV
Gerontology Nurse Practitioner 363LG0600X APRN002479 NV

Addresses

Primary practice location

7391 W Charleston Blvd Ste 140
Las Vegas, NV 89117-1577

Mailing address

7391 W Charleston Blvd.
Suite 140
Las Vegas, NV 89117-1577
Phone (702) 304-2144

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
I20170825003312 NV Practitioner - Nurse Practitioner 0244502144 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Acute Medical Services-Scherr 1 PCGroup PAC ID 6103101738, 68 clinicians
Nevada Post-Acute Medical Services-Scherr 1 P.CGroup PAC ID 7012292634, 18 clinicians

Practice addresses (Care Compare)

2250 E Flamingo Rd
Las Vegas, NV 89119-5170
Phone (702) 877-8898

5650 S Rainbow Blvd
Las Vegas, NV 89118-1808
Phone (702) 470-1102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN002479NVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Post-Acute Medical Services-Scherr 1 PC CurrentSince Aug 16, 2017 Accepting new patients
CS Pacs 3 West LLC CurrentSince Sep 9, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Sep 29, 2020 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Aug 16, 2017 Accepting new patients

Locations

10550 Park Run Dr
Las Vegas, NV 89144
Phone (702) 515-6200

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

2250 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 474-0200

2860 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-0684

5650 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 470-1102

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

6351 N Fort Apache Rd
Las Vegas, NV 89149
Phone (702) 395-1555

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

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, 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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1184156838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7391 W CHARLESTON BLVD.",
            "address_2": "SUITE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171577",
            "telephone_number": "702-304-2144",
            "fax_number": "702-304-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7391 W CHARLESTON BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171577",
            "telephone_number": "702-304-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JISSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002479",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002479",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "APRN002479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.