Individual provider Active NPI

Jarvis Olsen, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1194149146
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN001679 Issued in NV
Practice address
2481 Professional CT
Las Vegas, NV 89128-0825
Phone
(702) 382-1599
Fax
(702) 240-4962
NPI assigned
Feb 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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 APRN001679 NV Primary

Addresses

Primary practice location

2481 Professional CT
Las Vegas, NV 89128-0825

Mailing address

2481 Professional CT
Las Vegas, NV 89128-0825
Phone (702) 382-1599

Other identifiers 1

IdentifierTypeStateIssuer
1194149146MedicaidNV

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
I20140806000686 NV Practitioner - Nurse Practitioner 7810114477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Molin PLLCGroup PAC ID 7517406994, 12 clinicians

Practice addresses (Care Compare)

3425 Cliff Shadows Pkwy
Suite 250
Las Vegas, NV 89129-5112
Phone (702) 382-1599

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Emergency Services Scherr LTD Current Accepting new patients
Molin PLLC CurrentSince Sep 1, 2024 Accepting new patients
Fremont Emergency Services Scherr LTD CurrentSince Nov 20, 2015 Accepting new patients
Yang Medical Services, PLLC CurrentSince Nov 19, 2020 Accepting new patients
Fremont Emergency Services Scherr LTD CurrentSince Nov 20, 2015 Accepting new patients

Locations

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3425 Cliff Shadows Pkwy
Las Vegas, NV 89129
Phone (702) 673-4745

3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

3425 Cliff Shadows Pkwy
Ste 250
Las Vegas, NV 89129
Phone (702) 382-1599

7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100

Interoperability endpoints

  • Direct secure messaging: jarvis.olsen.1@31667.direct.athenahealth.com

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": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1194149146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 PROFESSIONAL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280825",
            "telephone_number": "702-382-1599",
            "fax_number": "702-240-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 PROFESSIONAL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280825",
            "telephone_number": "702-382-1599",
            "fax_number": "702-240-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "JARVIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194149146",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.