Individual provider Active NPI

Jennifer Walsh, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1447702360
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN002493 Issued in NV
Practice address
2020 Wellness Way Ste 300
Las Vegas, NV 89106-4145
Phone
(702) 432-2233
Fax
(702) 800-5456
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 77986 NV
Nurse Practitioner 363L00000X APRN002493 NV Primary

Addresses

Primary practice location

2020 Wellness Way Ste 300
Las Vegas, NV 89106-4145

Mailing address

2020 Wellness Way Ste 300
Las Vegas, NV 89106-4145
Phone (702) 432-2233

Other practice location 1

2010 Wellness Way Ste 306
Las Vegas, NV 89106-4142
Phone (702) 432-2233

Other identifiers 1

IdentifierTypeStateIssuer
100553341MedicaidNV

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
I20170710001163 NV Practitioner - Nurse Practitioner 8426327339 Reassigns benefits to 1 organization

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
Janda Mahajan and Balsiger PLLCGroup PAC ID 7315257797, 32 clinicians

Practice addresses (Care Compare)

2020 Wellness Way
Suite 300
Las Vegas, NV 89106-4145
Phone (702) 432-2233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77986NVMDRegistered Nurse
APRN002493NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Janda, Mahajan & Balsiger PLLC CurrentSince Jul 10, 2017 Accepting new patients
Janda, Mahajan & Balsiger PLLC Past Accepting new patients

Locations

2010 Wellness Way
Ste 306
Las Vegas, NV 89106

2020 Wellness Way
Ste 300
Las Vegas, NV 89106
Phone (702) 477-7000

1930 Village Center Cir
Ste 3717
Las Vegas, NV 89134

Interoperability endpoints

  • Direct secure messaging: jenniferwalsh@lvnc.gwaydirect.com

Organizations & group practices 2

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1447702360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-432-2233",
            "fax_number": "702-800-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-432-2233",
            "fax_number": "702-800-5456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Wellness Way Ste 306",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064142",
            "country_code": "US",
            "telephone_number": "702-432-2233",
            "fax_number": "702-800-5456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "77986",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100553341",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.