Active NPI
Jessica Tan, APRN
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN002480
- Practice address
- 2035 W Charleston Blvd
Las Vegas, NV 89102-2223 - Phone
- (702) 304-2144
- NPI assigned
- Apr 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN002480 | NV | Primary |
Addresses
Primary practice location
2035 W Charleston Blvd
Las Vegas, NV 89102-2223
Mailing address
5575 Simmons St
Unit 1 #563
North Las Vegas, NV 89031-9008
Phone (702) 304-2144
Other names 1
- Jessica Wright
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2325 E Harmon Ave
Las Vegas, NV 89119-7848
Phone (702) 798-7990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN002480 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 West LLC | Current | Accepting new patients | |
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients |
Locations
2325 E Harmon Ave
Las Vegas, NV 89119
Phone (702) 798-1990
4015 McLeod Dr
Las Vegas, NV 89121
Phone (702) 433-2200
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
2716 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 240-8934
2716 N Tenaya Way
Fl 2
Las Vegas, NV 89128
Phone (702) 579-3296
1701 S Torrey Pines Dr
Las Vegas, NV 89146
Phone (702) 515-6200
2860 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-0684
10550 Park Run Dr
Las Vegas, NV 89144
Phone (702) 515-6200
2035 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 386-7980
6351 N Fort Apache Rd
Las Vegas, NV 89149
Phone (702) 395-1555
1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570
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 and National Provider Directory roles.
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- Hospitalist Physician
- Las Vegas, NV
- NPI 1427534809
-
- Hospitalist Physician
- North Las Vegas, NV
- NPI 1033658331
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Hospitalist Physician
- Las Vegas, NV
- NPI 1992244438
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1770556037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1417480310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 SIMMONS ST",
"address_2": "UNIT 1 #563",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890319008",
"telephone_number": "702-304-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022223",
"telephone_number": "702-304-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "JESSICA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "WRIGHT",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.