Individual provider Active NPI

Jeremy Loja

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1265266761
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
882077 Issued in NV
Practice address
1081 S Cimarron Rd Ste B5
Las Vegas, NV 89145-2454
Phone
(702) 749-8885
Fax
(702) 749-6393
NPI assigned
Aug 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 882077 NV Primary

Addresses

Primary practice location

1081 S Cimarron Rd Ste B5
Las Vegas, NV 89145-2454

Mailing address

1081 S Cimarron Rd Ste B5
Las Vegas, NV 89145-2454
Phone (702) 327-0912

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
I20250116003319 NV Practitioner - Nurse Practitioner 5395273452 Reassigns benefits to 1 organization

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
Mandt MSDLGroup PAC ID 5991867269, 6 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89145
Phone (702) 749-8885

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M&T MSDL CurrentSince Nov 15, 2024 Accepting new patients

Locations

1081 S Cimarron Rd
Ste B5
Las Vegas, NV 89145
Phone (702) 749-8885

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1265266761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 S CIMARRON RD STE B5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891452454",
            "telephone_number": "702-327-0912",
            "fax_number": "702-749-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 S CIMARRON RD STE B5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891452454",
            "telephone_number": "702-749-8885",
            "fax_number": "702-749-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOJA",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-07-05",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "882077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.