Individual provider Active NPI

Jenesa Sanchez Aguiluz-Dizon, APRN

  • Acute Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1235607672
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
814965 Issued in NV
Practice address
2000 Wellness Way
Las Vegas, NV 89106-4113
Phone
(702) 384-5101
Fax
(702) 382-5675
NPI assigned
Nov 4, 2018
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 814965 NV Primary

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

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
I20190514000109 NV Practitioner - Nurse Practitioner 7719220854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
814965NVMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aplo Health and Aesthetics LLC CurrentSince Aug 14, 2019 Accepting new patients
Platinum Hospitalists LLP Internal Medicine CurrentSince Apr 15, 2019 Accepting new patients
Platinum Hospitalists LLP Internal Medicine CurrentSince Apr 15, 2019 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
University Medical Center of Southern Nevada 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

1330 Karen Ave
#B
Las Vegas, NV 89169
Phone (702) 417-4543

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

8920 W Tropicana Ave
Ste 105
Las Vegas, NV 89147
Phone (702) 713-5347

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1541289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1235607672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81345",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891801345",
            "telephone_number": "702-384-5101",
            "fax_number": "702-382-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WELLNESS WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064113",
            "telephone_number": "702-384-5101",
            "fax_number": "702-382-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILUZ-DIZON",
        "first_name": "JENESA",
        "middle_name": "SANCHEZ",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-04",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "814965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.