Individual provider Active NPI

Wally Joseph, NP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1326595125
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004317 Issued in CA
Practice address
600 W Sunset Rd Ste 102
Henderson, NV 89011-4112
Phone
(725) 241-5252
NPI assigned
Sep 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 836179 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 836179 NV
Family Nurse Practitioner 363LF0000X 95004317 CA Primary

Addresses

Primary practice location

600 W Sunset Rd Ste 102
Henderson, NV 89011-4112

Mailing address

600 W Sunset Rd Ste 102
Henderson, NV 89011-4112

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
I20211006001722 NV Practitioner - Nurse Practitioner 2668758632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Essential Clinic LLCGroup PAC ID 5395143341, 7 clinicians

Practice addresses (Care Compare)

600 W Sunset Rd
Suite 102
Henderson, NV 89011-4112
Phone (725) 241-5252

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
80.29
Promoting interoperability
95
Improvement activities
40
Cost
61.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95004317CAMDFamily Nurse Practitioner
836179NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Solutions LLC CurrentSince Oct 20, 2023 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Oct 20, 2023 Accepting new patients
Essential Clinic LLC CurrentSince Mar 17, 2021 Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

600 W Sunset Rd
Ste 102
Henderson, NV 89011
Phone (725) 241-5252

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": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1326595125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W SUNSET RD STE 102",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W SUNSET RD STE 102",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114112",
            "telephone_number": "725-241-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "WALLY",
        "credential": "NP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-08",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "836179",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "836179",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.