Individual provider Active NPI

Carl Jover Simran

  • Psychiatric/Mental Health Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1609695881
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
882478 Issued in NV
Practice address
4310 W Cheyenne Ave
North Las Vegas, NV 89032-2484
Phone
(702) 763-7811
NPI assigned
Oct 7, 2024
Last updated
May 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 882478 NV Primary

Addresses

Primary practice location

4310 W Cheyenne Ave
North Las Vegas, NV 89032-2484

Mailing address

3021 W Horizon Ridge Pkwy
Henderson, NV 89052-3990
Phone (702) 947-2650

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
I20260610000623 NV Practitioner - Nurse Practitioner 4587135512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4310 W Cheyenne Ave
Suite 100
North Las Vegas, NV 89032-2484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
882478NVMDPsychiatric/Mental Health Nurse Practitioner

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, 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": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1609695881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523990",
            "telephone_number": "702-947-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 W CHEYENNE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322484",
            "telephone_number": "702-763-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMRAN",
        "first_name": "CARL",
        "middle_name": "JOVER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "882478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.