Jasmine Kennedy, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

872463 Issued in NV

Practice address

2800 E Desert Inn Rd Ste 100
Las Vegas, NV 89121-3609

Phone

(702) 731-1616

NPI assigned

Oct 25, 2023

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pouya Mohajer MD LTDGroup PAC ID 3173529583, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.34 of 100Reported as group

Quality

100

Promoting interoperability

97

Improvement activities

40

Cost

66.3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Pouya Mohajer MD LTD

  dba PriMMed Pain Institute

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1902826464
  Medicare reassignment Care Compare group NPD
• Pouya Mohajer MD LTD

  dba Primmed

  • Durable Medical Equipment & Medical Supplies
  • Pahrump, NV
  • NPI 1952298853

  Pain Medicine

  NPD
• Desert Orthopaedic Center, LTD.

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
  • NPI 1548235302

  Family

  NPD (past)
• Desert Orthopaedic Center, LTD.

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
  • NPI 1598087223
  NPD (past)

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1528830304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E DESERT INN RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213609",
            "telephone_number": "702-731-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E DESERT INN RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213609",
            "telephone_number": "702-731-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2930 W Horizon Ridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525059",
            "country_code": "US",
            "telephone_number": "702-731-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8402 Centennial Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494793",
            "country_code": "US",
            "telephone_number": "702-731-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8689 W Charleston Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891175485",
            "country_code": "US",
            "telephone_number": "702-731-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8205 W Warm Springs Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891133646",
            "country_code": "US",
            "telephone_number": "702-731-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JASMINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "872463",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "872463",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN88987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Durry Kennedy
• Eileen Frances Kennedy
• Frank Kennedy
• Heather Ann Kennedy
• Jacqueline Estella Kennedy
• John Kennedy
• Lauren Lee Kennedy, MD
• Lavelle Kennedy
• Malaysia Kennedy, CNA
• Tahli Kennedy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.