Individual provider Active NPI

Jasmine Valerie Dela Cruz Acupan, MSN, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1609616598
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
848811 Issued in NV
Practice address
8970 Rice Peak St
Las Vegas, NV 89148-1500
Phone
(702) 956-4770
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 848811 NV Primary

Addresses

Primary practice location

8970 Rice Peak St
Las Vegas, NV 89148-1500

Mailing address

8970 Rice Peak St
Las Vegas, NV 89148-1500
Phone (702) 956-4770

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
I20250312001456 NV Practitioner - Nurse Practitioner 3173044773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aguila Medical Group LLCGroup PAC ID 0446634612, 3 clinicians

Practice addresses (Care Compare)

9280 W Sunset Rd
Las Vegas, NV 89148-4862
Phone (702) 906-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aguila Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

6720 N Hualapai Way
Ste 145
Las Vegas, NV 89149
Phone (716) 380-2292

9280 W Sunset Rd
Ste 414
Las Vegas, NV 89148
Phone (702) 896-2020

Organizations & group practices 1

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": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1609616598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8970 RICE PEAK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481500",
            "telephone_number": "702-956-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8970 RICE PEAK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481500",
            "telephone_number": "702-956-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACUPAN",
        "first_name": "JASMINE VALERIE",
        "middle_name": "DELA CRUZ",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "848811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.