Individual provider Active NPI

Ammar Hussain

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1659245298
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
893188 Issued in NV
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

Updated by the provider on Feb 3, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260527003919 NV Practitioner - Nurse Practitioner 6305316647 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
893188NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Nicknam PC Single Specialty CurrentSince Mar 17, 2026 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

Verify at the official NPI Registry.