Individual provider Active NPI

Scott Wall

  • Primary Care Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1659083418
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F12220181 Issued in NV
Practice address
6917 Toll Mountain St
North Las Vegas, NV 89086-1599
Phone
(985) 320-1532
NPI assigned
Dec 22, 2022
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F12220181 NV Primary

Addresses

Primary practice location

6917 Toll Mountain St
North Las Vegas, NV 89086-1599

Mailing address

6917 Toll Mountain St
North Las Vegas, NV 89086-1599

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
I20230511000225 NV Practitioner - Nurse Practitioner 2062878358 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

5570 Camino Al Norte
Suite 1
North Las Vegas, NV 89031-0809
Phone (702) 657-0756

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F12220181NVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Nevada, LLC CurrentSince Mar 31, 2026 Accepting new patients
Acuity Wound Care CurrentSince Mar 1, 2025 Accepting new patients
NCC House Calls LLC CurrentSince Feb 1, 2024 Accepting new patients
Excellence Health Consulting LLC CurrentSince Apr 20, 2025 Accepting new patients
Craig M Jorgenson MD LTD CurrentSince Feb 1, 2024 Accepting new patients
Healthwise LLC CurrentSince Jun 1, 2025 Accepting new patients
Rhodium Medical of Arizona LLC PastSince Mar 11, 2025 Accepting new patients

Locations

1000 N Green Valley Pkwy
#440127
Henderson, NV 89074
Phone (702) 361-2273

1000 N Green Valley Pkwy
Ste 440127
Henderson, NV 89074

2325 E Harmon Ave
Las Vegas, NV 89119
Phone (702) 789-7990

3830 E Flamingo Rd
Ste 201
Las Vegas, NV 89121
Phone (702) 659-5604

500 N Rainbow Blvd
Ste 300
Las Vegas, NV 89107
Phone (702) 389-1148

6330 S Jones Blvd
Las Vegas, NV 89118
Phone (702) 659-9090

9975 S Eastern Ave
Ste 110
Las Vegas, NV 89183
Phone (702) 361-2273

5570 Camino Al Norte
Ste 1
North Las Vegas, NV 89031
Phone (702) 657-0756

1460 N Main St
Unit 1B
Spanish Fork, UT 84660
Phone (801) 318-8930

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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 1

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": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1659083418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 TOLL MOUNTAIN ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890861599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 TOLL MOUNTAIN ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890861599",
            "telephone_number": "985-320-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "F12220181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.