Angie Pacheco Jones

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN001462 Issued in NV

Practice address

4141 Swenson St
Las Vegas, NV 89119-6718

Phone

(702) 595-2844

Fax

(702) 796-3152

NPI assigned

Feb 6, 2013

Last updated

Jun 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Ms. Angelica Pacheco Gayatin Former name

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infectious Disease Specialists LLCGroup PAC ID 7214974971, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046

Merit-based Incentive Payment System (MIPS)

Final score

92 of 100Reported as group

Quality

100

Improvement activities

40

Cost

40.01

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Infectious Disease Specialists, LLC

  • Infectious Disease Physician
  • Las Vegas, NV
  • NPI 1558427526
  Medicare reassignment Care Compare group NPD
• Doyne Medical Clinic Inc.

  dba Doyne Medical Clinic

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1710997291

  Family

  Medicare reassignment NPD
• Freedom Health Services Inc

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1770636847
  Medicare reassignment NPD
• Roberto C Chuapoco MD a Professional Corporation

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1114056462
  Medicare reassignment NPD
• Priti Narula MD, PC

  dba Prime Medical Group

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1720165038
  NPD
• DMC Medical Clinic LTD

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1699374256
  NPD (past)
• Valley Primary Care Center LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1568659381
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Spring Valley Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1346230323
  Care Compare affiliation
• Spring Valley Medical Center

  dba ER at Blue Diamond

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1588219117

  Hospital

  Care Compare affiliation
• Spring Valley Medical Center

  dba Valley Health Specialty Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1982289690
  Care Compare affiliation

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1225377617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 SWENSON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196718",
            "telephone_number": "702-595-2844",
            "fax_number": "702-445-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SWENSON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196718",
            "telephone_number": "702-595-2844",
            "fax_number": "702-796-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANGIE",
        "middle_name": "PACHECO",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001462",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "APRN001462",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001462",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "APRN001462",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN46490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "GAYATIN",
            "middle_name": "PACHECO",
            "prefix": "MS.",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea B. Jones
• Andrew Lovett Jones, M.D., M.S.
• Anesia Jones
• Angel Jones
• Angel Courtney Alana Jones
• Anglia Malinda Jones
• Anita Jones
• Anita Jones
• Annie Jones
• Anthony Jones

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.

Verify at the official NPI Registry.