NPIMap

Individual provider Active NPI

Robert J Lynn, APN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1275516015
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN000658 Issued in NV
Practice address
9975 S Eastern Ave
Las Vegas, NV 89123-7950
Phone
(702) 361-2273
Fax
(702) 361-6885
NPI assigned
Nov 25, 2005
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 APN000658 NV Primary

Addresses

Primary practice location

9975 S Eastern Ave
Las Vegas, NV 89123-7950

Mailing address

PO Box 530010
Henderson, NV 89053-0010
Phone (702) 361-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040714000818 NV Practitioner - Nurse Practitioner 4688653660 Reassigns benefits to 2 organizations
I20251013002693 AZ Practitioner - Nurse Practitioner 4688653660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bruncuso Holdings LLCGroup PAC ID 4789043449, 14 clinicians

Practice addresses (Care Compare)

123 W Nye LN
Suite 129
Carson City, NV 89706-0838
Phone (775) 376-5184

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN000658NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobileonedocs, LLC CurrentSince Jul 1, 2022 Accepting new patients
Bruncuso Holdings LLC Family CurrentSince Dec 28, 2024 Accepting new patients
Athena Medical Consultants Family Current Accepting new patients
Mobileonedocs, LLC Current Accepting new patients
Bruncuso Holdings Chapter Two LLC Family CurrentSince Dec 28, 2024 Accepting new patients
Mobileonedocs, LLC Family CurrentSince Jul 1, 2022 Accepting new patients
A Better Option Healthcare Inc PastSince Mar 12, 2018 Accepting new patients
Advanced House Calls Inc PastSince Dec 15, 2003 Accepting new patients
Yu & I Wellness LLC Past Accepting new patients
Craig M Jorgenson MD LTD Nurse Practitioner Past Accepting new patients

Locations

4705 E Carefree Hwy
Ste 131
Cave Creek, AZ 85331
Phone (480) 847-2273

123 W Nye Ln
Ste 129
Carson City, NV 89706
Phone (480) 847-2273

8565 S Eastern Ave
Ste 150
Las Vegas, NV 89123
Phone (702) 217-0820

Organizations & group practices 10

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 7

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275516015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530010",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890530010",
            "telephone_number": "702-361-2273",
            "fax_number": "702-361-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891237950",
            "telephone_number": "702-361-2273",
            "fax_number": "702-361-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN000658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.