Individual provider Active NPI

James Ryan Vanburen, APRN

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1285219014
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
836588 Issued in NV
Practice address
7 Tarryall Ter
Henderson, NV 89074-1527
Phone
(518) 657-9345
NPI assigned
Mar 12, 2021
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 836588 NV Primary

Addresses

Primary practice location

7 Tarryall Ter
Henderson, NV 89074-1527

Mailing address

7 Tarryall Ter
Henderson, NV 89074-1527
Phone (518) 657-9345

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
I20210607002484 NV Practitioner - Nurse Practitioner 3971903311 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5183 Misty Morning Dr
Las Vegas, NV 89118-1199
Phone (702) 659-5604

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Express Excellence Care LLC Family CurrentSince May 1, 2024 Accepting new patients
Albion Medical Group of Nevada, PC CurrentSince Apr 12, 2021 Accepting new patients
Premier House Calls, LLC CurrentSince Jan 11, 2026 Accepting new patients
Elite MD CurrentSince Aug 1, 2025 Accepting new patients
Carelon Medical Partners, PC PastSince Mar 1, 2021 Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627

3041 E Flamingo Rd
Ste A
Las Vegas, NV 89121
Phone (702) 436-0835

6720 Via Austi Pkwy
Ste 250
Las Vegas, NV 89119
Phone (702) 463-4050

Organizations & group practices 6

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": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1285219014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TARRYALL TER",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741527",
            "telephone_number": "518-657-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 TARRYALL TER",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741527",
            "telephone_number": "518-657-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBUREN",
        "first_name": "JAMES",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "836588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.