Jenesa Sanchez Aguiluz-Dizon, APRN
Individual provider Active NPI Acute Care Nurse Practitioner · Las Vegas, NV
NPI 1235607672 · NPPES record last updated Nov 18, 2019
Key facts
- NPI
- 1235607672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 814965 (NV)
- Practice address
- 2000 Wellness Way
Las Vegas, NV 89106-4113 - Phone
- (702) 384-5101
- Fax
- (702) 382-5675
- NPI assigned
- Nov 4, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8920 W Tropicana Ave
Suite 105
Las Vegas, NV 89147-8132
Phone (702) 713-5347
Hospital & facility affiliations
- Stellar Care Home Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190514000109 | NV | Practitioner - Nurse Practitioner | 7719220854 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platinum Hospitalists LLP | Internal Medicine | Current |
Accepting new patients |
| Platinum Hospitalists LLP | Internal Medicine | Current |
Accepting new patients |
| Aplo Health and Aesthetics LLC | Current |
Accepting new patients | |
| University Medical Center of Southern Nevada | Past | Accepting new patients | |
| Desert Springs Hospital | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients |
Locations
10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700
7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653
1330 Karen Ave
#B
Las Vegas, NV 89169
Phone (702) 417-4543
8920 W Tropicana Ave
Ste 105
Las Vegas, NV 89147
Phone (702) 713-5347
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 814965 | NV | Yes |
Addresses
Primary practice location
2000 Wellness Way
Las Vegas, NV 89106-4113
Mailing address
PO Box 81345
Las Vegas, NV 89180-1345
Phone (702) 384-5101
Other providers in Las Vegas, NV
- Kelly Aguilera
- Michelle Lee Aguilera
- Ray Aguilera
- Reynaldo Aguilera
- Sarah Aguilera
- Maritza Aguiluz
- Katelyn Aguinaga
- Richelle Aguinaldo Matubis
- Janice Ann Aguinaldo
- Marialena Aguiniga
All providers in Las Vegas, NV · Acute Care Nurse Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.