Active NPI
Scott Wall
- Primary Care Nurse Practitioner
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- F12220181
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F12220181 | NV | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Nevada, LLC | Current | Accepting new patients | |
| Acuity Wound Care | Current | Accepting new patients | |
| NCC House Calls LLC | Current | Accepting new patients | |
| Excellence Health Consulting LLC | Current | Accepting new patients | |
| Craig M Jorgenson MD LTD | Current | Accepting new patients | |
| Healthwise LLC | Current | Accepting new patients | |
| Rhodium Medical of Arizona LLC | Past | 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
- 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.
-
dba CareNow Urgent Care
- Urgent Care Clinic/Center
- Henderson, NV
- NPI 1134546575
-
dba Southern Nevada Hospitalists
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1831261460
-
- Adult Health Nurse Practitioner
- Boulder City, NV
- NPI 1801624770
-
- Adult Health Nurse Practitioner
- Henderson, NV
- NPI 1962239491
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Las Vegas, NV
- NPI 1659721140
-
- Family Medicine Physician
- Gilbert, AZ
- NPI 1952108342
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.