Individual provider Active NPI

Jonathan Nunag

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1548155336
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
890952 Issued in NV
Practice address
9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425
Phone
(725) 255-7865
NPI assigned
Jun 11, 2025
Last updated
Aug 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 890952 NV Primary

Addresses

Primary practice location

9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425

Mailing address

9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425
Phone (725) 255-7865

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
I20250806003332 NV Practitioner - Nurse Practitioner 9830607118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JD Medical Group LLCGroup PAC ID 2668817750, 8 clinicians

Practice addresses (Care Compare)

3601 W Sahara Ave
Suite 211
Las Vegas, NV 89102-5821
Phone (702) 606-1161

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JCN Medical LLC Family Current Accepting new patients
JD Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
JD Medical Behavioral Health Corp Family CurrentSince Jan 5, 2026 Accepting new patients

Locations

3601 W Sahara Ave
Ste 211
Las Vegas, NV 89102
Phone (702) 606-1161

9205 W Russell Rd
Ste 240
Las Vegas, NV 89148
Phone (702) 430-7801

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1548155336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 W RUSSELL RD STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481425",
            "telephone_number": "725-255-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 W RUSSELL RD STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481425",
            "telephone_number": "725-255-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNAG",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "890952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.