Individual provider Active NPI

Jennifer Dawn Powers, FNP- BC

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1467763359
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001213 Issued in NV
Practice address
9810 W Skye Canyon Park Dr Ste 120
Las Vegas, NV 89166-6634
Phone
(702) 602-5777
Fax
(702) 602-5888
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN001213 NV Primary

Addresses

Primary practice location

9810 W Skye Canyon Park Dr Ste 120
Las Vegas, NV 89166-6634

Mailing address

8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319
Phone (702) 330-3102

Other practice location 1

6250 N Durango Dr
Las Vegas, NV 89149-3916
Phone (702) 438-4692

Other practice location 2

3930 W Ann Rd
North Las Vegas, NV 89031-3841
Phone (702) 438-4692

Other practice location 3

517 Rose St
Las Vegas, NV 89106-4020
Phone (702) 438-4692

Other names 1

  • Jennifer Dawn Walker Former name

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
I20101113000021 NV Practitioner - Nurse Practitioner 1254526445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

517 Rose St
Las Vegas, NV 89106-4020
Phone (702) 438-4692

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc Past Accepting new patients
Congruence Billing and Management LLC Past Accepting new patients
Z and Z Podiatry LTD Past Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. PastSince Mar 26, 2019 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1467763359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481319",
            "telephone_number": "702-330-3102",
            "fax_number": "702-912-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 W SKYE CANYON PARK DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666634",
            "telephone_number": "702-602-5777",
            "fax_number": "702-602-5888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6250 N Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891493916",
            "country_code": "US",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3930 W Ann Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890313841",
            "country_code": "US",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 Rose St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064020",
            "country_code": "US",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "FNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WALKER",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.