Hussayn Boumelhem, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

854508 Issued in NV

Practice address

7626 Avila Beach Ave
Las Vegas, NV 89113-0774

Phone

(702) 349-4975

NPI assigned

Jun 14, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Choice Home Health Care Inc Home health agency, Las Vegas, NV, CCN 297107

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Premier House Calls, LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1841647666
  Medicare reassignment NPD
• Global Wound Care Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235831132
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Physicians Choice Home Health Care, Inc

  • Home Health Agency
  • Pahrump, NV
  • NPI 1437210861
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1326778176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 AVILA BEACH AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130774",
            "telephone_number": "702-349-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7626 AVILA BEACH AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130774",
            "telephone_number": "702-349-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUMELHEM",
        "first_name": "HUSSAYN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "854508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdelin Boules
• Wayne Edward Boulton, PA-C
• Marcelina Boulware
• Fadel Boumelhem
• Hassan Ali Boumelhem, FNP
• Brian Michael Bounds, APRN
• Nikkoal Bounds
• Songkeo Bounshedone
• Visouda Bounyavong
• Marie Bounyou

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.