Jesron Marpaung

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10201409 Issued in NV

Practice address

6540 Black Oaks St
North Las Vegas, NV 89084-2045

Phone

(909) 913-8647

NPI assigned

Mar 9, 2021

Last updated

Mar 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Absolute Primary Care CenterGroup PAC ID 3870717192, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Absolute Primary Care Center

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1205265279
  Medicare reassignment Care Compare group NPD (past)
• Silver Healthcare Solutions LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1487197091
  NPD (past)

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1477138626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 BLACK OAKS ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842045",
            "telephone_number": "909-913-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 BLACK OAKS ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842045",
            "telephone_number": "909-913-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARPAUNG",
        "first_name": "JESRON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "F10201409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Marin
• Victoria Marin
• Elysse M Marion
• Tara Leigh Markland, LPN
• Brian Marks
• Marques Smith (First Solution Home Care)
• Cesar Nicolas Marquez
• Lauren Marquez
• Mark Marquez
• Terralyn Marr

• Family Nurse Practitioner in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.

Verify at the official NPI Registry.