Individual provider Active NPI

Jody Falkowitz

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1194297663
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
814737 Issued in NV
Practice address
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone
(702) 727-7342
NPI assigned
Dec 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 814737 NV Primary

Addresses

Primary practice location

1800 W Charleston Blvd
Las Vegas, NV 89102-2329

Mailing address

9605 Blowing Sand Cir
Las Vegas, NV 89117-0297
Phone (702) 727-7342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 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
I20190306000757 NV Practitioner - Nurse Practitioner 3577802768 Reassigns benefits to 3 organizations
I20251201002289 AZ Practitioner - Nurse Practitioner 3577802768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18564 W Sweet Acacia Dr
Goodyear, AZ 85338-5298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
814737NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Hospitalists LLP CurrentSince Aug 1, 2021 Accepting new patients
Pueblo Medical Imaging, LLC CurrentSince Aug 1, 2023 Accepting new patients
Platinum Hospitalists LLP CurrentSince Aug 1, 2021 Accepting new patients
Las Vegas Medical Group LLC Nurse Practitioner CurrentSince Oct 16, 2023 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Nov 1, 2025 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Nov 1, 2025 Accepting new patients
J Paul Wiesner & Associates Chartered PastSince Nov 3, 2019 Accepting new patients

Locations

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1389 Galleria Dr
Ste 100
Henderson, NV 89014
Phone (725) 333-8400

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

8551 W Lake Mead Blvd
Ste 150
Las Vegas, NV 89128
Phone (702) 683-5516

6850 N Durango Dr
Ste 208
Las Vegas, NV 89149
Phone (702) 835-9870

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

5495 S Rainbow Blvd
Ste 101
Las Vegas, NV 89118
Phone (702) 214-9729

Organizations & group practices 8

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": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1194297663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 BLOWING SAND CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891170297",
            "telephone_number": "702-727-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022329",
            "telephone_number": "702-727-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKOWITZ",
        "first_name": "JODY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "814737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.