NPIMap

Individual provider Active NPI

Joshua Amadeus Moyer, APN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1376795849
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN001074 Issued in NV
Practice address
8515 Edna Ave Ste 240
Las Vegas, NV 89117-4441
Phone
(702) 330-3490
Fax
(702) 800-8450
NPI assigned
Oct 16, 2008
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN50595 NV
Nurse Practitioner 363L00000X APN001074 NV Primary

Addresses

Primary practice location

8515 Edna Ave Ste 240
Las Vegas, NV 89117-4441

Mailing address

11035 Lavender Hill Dr # 160-587
Las Vegas, NV 89135-2955
Phone (702) 330-3490

Other names 1

  • Joshua Jankowski Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090408000316 NV Practitioner - Nurse Practitioner 7315094380 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Haraway Medical Group PLLCGroup PAC ID 4587990619, 4 clinicians

Practice addresses (Care Compare)

11035 Lavender Hill Dr
Suite 160 587
Las Vegas, NV 89135-2955

2031 McDaniel St
Suite 200
North Las Vegas, NV 89030-6312
Phone (702) 294-0080

8515 Edna Ave
Suite 160
Las Vegas, NV 89117-4429
Phone (702) 856-6838

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
14.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
48.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN001074NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Nguyen MD LTD CurrentSince Feb 5, 2019 Accepting new patients
Moyer Medical Group CurrentSince Nov 11, 2019 Accepting new patients
Dignity Health Past Accepting new patients
Shanker Dixit, MD PC Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients

Locations

11035 Lavender Hill Dr
Ste 160587
Las Vegas, NV 89135

2341 Renaissance Dr
Las Vegas, NV 89119
Phone (702) 245-9640

8515 Edna Ave
Ste 160
Las Vegas, NV 89117
Phone (702) 330-3490

8515 Edna Ave
Ste 240
Las Vegas, NV 89117
Phone (702) 330-3490

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 6

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": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1376795849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 LAVENDER HILL DR # 160-587",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352955",
            "telephone_number": "702-330-3490",
            "fax_number": "702-800-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 EDNA AVE STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174441",
            "telephone_number": "702-330-3490",
            "fax_number": "702-800-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "JOSHUA",
        "middle_name": "AMADEUS",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN50595",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "JANKOWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.