Active NPI
Jocelyn Leonor Segovia, PAC
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1215991997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA825
- Practice address
- 7220 S Cimarron Rd Ste 270
Las Vegas, NV 89113-2160 - Phone
- (702) 912-4100
- Fax
- (702) 386-4701
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA825 | NV | Primary |
Addresses
Primary practice location
7220 S Cimarron Rd Ste 270
Las Vegas, NV 89113-2160
Mailing address
3157 N Rainbow Blvd # 518
Las Vegas, NV 89108-4578
Phone (702) 386-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100503059 | Medicaid | NV |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.83 of 100
- Quality
- 85.22
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA825 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen a Gephardt MD LTD | Current | Accepting new patients | |
| Spring Valley Medical Center | Past | Accepting new patients | |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients |
Locations
825 N Gibson Rd
Ste 420
Henderson, NV 89011
Phone (702) 912-4100
7220 S Cimarron Rd
Ste 270
Las Vegas, NV 89113
Phone (702) 623-5564
Interoperability endpoints
- jocelynsegovia@ncpc.ssdirect.aprima.com
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1215991997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3157 N RAINBOW BLVD # 518",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891084578",
"telephone_number": "702-386-4700",
"fax_number": "702-386-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 S CIMARRON RD STE 270",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132160",
"telephone_number": "702-912-4100",
"fax_number": "702-386-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGOVIA",
"first_name": "JOCELYN",
"middle_name": "LEONOR",
"name_prefix": "Mrs.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100503059",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.