Individual provider Active NPI

Alyssa Oliver

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1417434754
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002834 Issued in NV
Practice address
8689 W Charleston Blvd Ste 105
Las Vegas, NV 89117-5485
Phone
(702) 616-5720
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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 APRN002834 NV Primary

Addresses

Primary practice location

8689 W Charleston Blvd Ste 105
Las Vegas, NV 89117-5485

Mailing address

1109 Morning Sun Way
Las Vegas, NV 89110-2903
Phone (925) 408-2610

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
I20190312002727 NV Practitioner - Nurse Practitioner 4789924697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

2650 N Tenaya Way
Suite 208
Las Vegas, NV 89128-1104
Phone (702) 360-2100

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002834NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc CurrentSince Feb 12, 2020 Accepting new patients
J Robert West, M.D., Inc CurrentSince Feb 12, 2020 Accepting new patients
J. Robert West, M.D., Inc Past Accepting new patients

Locations

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

7220 S Cimarron Rd
Ste 200
Las Vegas, NV 89113
Phone (702) 463-0800

2650 N Tenaya Way
Ste 208
Las Vegas, NV 89128
Phone (702) 360-2100

8205 W Warm Springs Rd
Ste 190
Las Vegas, NV 89113
Phone (702) 588-6730

8689 W Charleston Blvd
Ste 105
Las Vegas, NV 89117
Phone (702) 304-5900

Interoperability endpoints

  • FHIR API: https://westderm.mmi.prod.fhir.ema-api.com/fhir/r4/

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1417434754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 MORNING SUN WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891102903",
            "telephone_number": "925-408-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8689 W CHARLESTON BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175485",
            "telephone_number": "702-616-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.