Individual provider Active NPI

Jennifer Lynn Vroman, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1245095314
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
874176 Issued in NV
Practice address
2785 E Desert Inn Rd Ste 230
Las Vegas, NV 89121-3624
Phone
(702) 981-0364
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 874176 NV Primary

Addresses

Primary practice location

2785 E Desert Inn Rd Ste 230
Las Vegas, NV 89121-3624

Mailing address

166 Rocky Star St
Henderson, NV 89012-5561
Phone (702) 439-4359

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
I20240610003822 NV Practitioner - Nurse Practitioner 6709328321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lln02 LLCGroup PAC ID 5395101604, 6 clinicians
Changing Minds Psychiatry LLCGroup PAC ID 8820365729, 51 clinicians

Practice addresses (Care Compare)

129 W Lake Mead Pkwy
Suite 8
Henderson, NV 89015-7055
Phone (725) 254-8686

911 N Buffalo Dr
Unit 206
Las Vegas, NV 89128-0381
Phone (702) 405-8088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
874176NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Minds Psychiatry LLC CurrentSince Apr 29, 2024 Accepting new patients
Lln02 LLC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Changing Minds Psychiatry LLC Psychiatric/Mental Health PastSince Apr 29, 2024 Accepting new patients

Locations

2960 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 677-1104

129 W Lake Mead Pkwy
Ste 8
Henderson, NV 89015
Phone (702) 285-8311

911 N Buffalo Dr
Unit 206213
Las Vegas, NV 89128

911 N Buffalo Dr
Unit 206
Las Vegas, NV 89128
Phone (702) 704-8685

Organizations & group practices 3

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1245095314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 ROCKY STAR ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125561",
            "telephone_number": "702-439-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 E DESERT INN RD STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213624",
            "telephone_number": "702-981-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VROMAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "874176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.