Individual provider Active NPI

Aaron Allen Bellow Jr., NP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1205931656
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
647389 Issued in TX
Practice address
4475 S Eastern Ave
Las Vegas, NV 89119-7826
Phone
(702) 669-5840
Fax
(702) 650-5729
NPI assigned
Sep 13, 2006
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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 647389 TX Primary

Addresses

Primary practice location

4475 S Eastern Ave
Las Vegas, NV 89119-7826

Mailing address

PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 579-3298

Other identifiers 3

IdentifierTypeStateIssuer
1205931656OtherNVSMA MEDICAID
149196203MedicaidTX
V111603OtherNVSMA MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV, ID, ME, CT5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20040616001115 TX Practitioner - Nurse Practitioner 3375527344 Reassigns benefits to 1 organization
I20150929001616 NV Practitioner - Nurse Practitioner 3375527344 Reassigns benefits to 4 organizations
I20260530000470 ID Practitioner - Nurse Practitioner 3375527344 Reassigns benefits to 1 organization
I20260610003435 ME Practitioner - Nurse Practitioner 3375527344 Reassigns benefits to 1 organization
I20260623002201 CT Practitioner - Nurse Practitioner 3375527344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 California St
Suite 2300
San Francisco, CA 94111-3720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
647389TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Texas PA CurrentSince Oct 1, 2014 Accepting new patients
Yang Medical Services, PLLC CurrentSince Oct 4, 2023 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Nov 2, 2015 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 1, 2019 Accepting new patients
Greater Texas Emergency Consultants, P.a. Past Accepting new patients
Southeast Emergency Physician Associates, P.a. Past Accepting new patients
Sulphur Emergency Group LLC Past Accepting new patients
Stat Care of Texas, PA Past Accepting new patients
Total Care Port Arthur LLC PastSince Dec 1, 2015 Accepting new patients
Memorial Southwest Emergency Physicians, LLP Past Accepting new patients
Total Inpatient Services, PA Past Accepting new patients

Locations

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

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

4475 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 669-5811

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

Interoperability endpoints

  • Direct secure messaging: aaron.bellow.1@30520.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1205931656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15645",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891145645",
            "telephone_number": "702-579-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197826",
            "telephone_number": "702-669-5840",
            "fax_number": "702-650-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOW",
        "first_name": "AARON",
        "middle_name": "ALLEN",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "647389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMA MEDICAID",
            "identifier": "1205931656",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149196203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SMA MEDICARE",
            "identifier": "V111603",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.