Active NPI
Ammar Hussain
- Family Nurse Practitioner
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 893188
- Practice address
- 4060 North Martin Luther King Blvd. #101a
North Las Vegas, NV 89032 - Phone
- (702) 380-1712
- NPI assigned
- Oct 4, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 893188 | NV | Primary |
Addresses
Primary practice location
4060 North Martin Luther King Blvd. #101a
North Las Vegas, NV 89032
Mailing address
8362 Bismark Sapphire St
Las Vegas, NV 89139-7132
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
- Touro Un Col of Osteopathic Medicine, Henderson, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4060 N Martin Luther King Blvd
Suite 101a
Las Vegas, NV 89032
PO Box
Las Vegas, NV 89133
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 893188 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Nicknam PC | Single Specialty | Current | Accepting new patients |
Locations
4060 N Martin L King Blvd
Ste 101
North Las Vegas, NV 89032
Phone (702) 380-1712
4060 N Martin L King Blvd
#101A
North Las Vegas, NV 89032
Phone (702) 380-1712
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": "1759536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1659245298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8362 BISMARK SAPPHIRE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891397132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 NORTH MARTIN LUTHER KING BLVD. #101A",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89032",
"telephone_number": "702-380-1712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAIN",
"first_name": "AMMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-04",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "893188",
"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 Feb 3, 2026; 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.