Individual provider Active NPI

Jocelyn Leonor Segovia, PAC

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1215991997
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA825 Issued in NV
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

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100503059MedicaidNV

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
I20040524000889 NV Practitioner - Physician Assistant 0840281150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as group
Quality
85.22
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA825NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a Gephardt MD LTD CurrentSince Jul 22, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.