Individual provider Active NPI

Mary Jessica Yanga, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1649028812
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
816881 Issued in NV
Practice address
5380 S Rainbow Blvd Ste 308
Las Vegas, NV 89118-1880
Phone
(702) 463-8988
NPI assigned
May 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 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 816881 NV Primary

Addresses

Primary practice location

5380 S Rainbow Blvd Ste 308
Las Vegas, NV 89118-1880

Mailing address

5380 S Rainbow Blvd Ste 308
Las Vegas, NV 89118-1880
Phone (702) 796-7150

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
I20240801001088 NV Practitioner - Nurse Practitioner 1951848514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada, Las Vegas School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Cardiology Professional AssnGroup PAC ID 8426034307, 10 clinicians

Practice addresses (Care Compare)

3150 N Tenaya Way
Suite 460
Las Vegas, NV 89128-0463
Phone (702) 233-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
816881NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Cardiology Professional Assn CurrentSince Jun 1, 2025 Accepting new patients

Locations

3150 N Tenaya Way
Ste 460
Las Vegas, NV 89128
Phone (702) 233-1000

3201 S Maryland Pkwy
Ste 400
Las Vegas, NV 89109
Phone (702) 262-1130

5380 S Rainbow Blvd
Ste 308
Las Vegas, NV 89118
Phone (702) 233-1000

3201 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 600-3671

10105 Banburry Cross Dr
Ste 130
Las Vegas, NV 89144
Phone (615) 879-0587

Interoperability endpoints

  • Direct secure messaging: mary.jessica.yanga.1@31016.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJCBA

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": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1649028812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 308",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181880",
            "telephone_number": "702-796-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 308",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181880",
            "telephone_number": "702-463-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANGA",
        "first_name": "MARY JESSICA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "816881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.