Individual provider Active NPI

Brian Palmer, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1679129787
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
818244 Issued in NV
Practice address
4141 Swenson St
Las Vegas, NV 89119-6718
Phone
(702) 733-0320
Fax
(702) 796-3134
NPI assigned
Aug 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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 818244 NV Primary

Addresses

Primary practice location

4141 Swenson St
Las Vegas, NV 89119-6718

Mailing address

4141 Swenson St
Las Vegas, NV 89119-6718
Phone (702) 733-0320

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
I20200303001352 NV Practitioner - Nurse Practitioner 0345677365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nathan Adelson Hospice IncGroup PAC ID 6709820129, 10 clinicians

Practice addresses (Care Compare)

3150 N Tenaya Way
Suite 350
Las Vegas, NV 89128-0489
Phone (702) 733-0320

4131 University Ctr Dr
Las Vegas, NV 89119-6718
Phone (702) 733-0320

4141 University Ctr Dr
Las Vegas, NV 89119-6718
Phone (702) 796-3162

Hospital & facility affiliations

  • Nathan Adelson Hospice Hospice, Las Vegas, NV, CCN 291500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
818244NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Compassionate Care and Palliative Services Institute CurrentSince Nov 4, 2019 Accepting new patients
Nathan Adelson Hospice Inc Current Accepting new patients
Trusted Primary Care CurrentSince Nov 4, 2019 Accepting new patients

Locations

4141 University Center Dr
Las Vegas, NV 89119
Phone (702) 796-3162

3150 N Tenaya Way
Ste 350
Las Vegas, NV 89128
Phone (702) 243-6400

4131 University Center Dr
Las Vegas, NV 89119
Phone (702) 796-3112

2270 Commercial Dr
Ste B
Pahrump, NV 89048
Phone (702) 751-6700

Organizations & group practices 3

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.

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": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1679129787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 SWENSON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196718",
            "telephone_number": "702-733-0320",
            "fax_number": "702-796-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SWENSON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196718",
            "telephone_number": "702-733-0320",
            "fax_number": "702-796-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "BRIAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "818244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.