Active NPI
Melissa Jarusiri, FNP-C
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 860185
- Practice address
- 4855 Blue Diamond Rd Ste 220
Las Vegas, NV 89139-7602 - Phone
- (702) 620-7007
- Fax
- (702) 386-0005
- NPI assigned
- Nov 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 860185 | NV | Primary |
| Family Nurse Practitioner | 363LF0000X | RN94275 | NV |
Addresses
Primary practice location
4855 Blue Diamond Rd Ste 220
Las Vegas, NV 89139-7602
Mailing address
PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10290 W Flamingo Rd
Suite 105
Las Vegas, NV 89135-2653
Phone (702) 329-1156
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 63.87
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 860185 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Vegas Medical Group LLC | Family Medicine | Current | Accepting new patients |
Locations
1389 Galleria Dr
Ste 100
Henderson, NV 89014
Phone (725) 333-8400
5320 S Rainbow Blvd
Ste 302
Las Vegas, NV 89118
Phone (702) 382-8222
10290 W Flamingo Rd
Ste 105
Las Vegas, NV 89135
Phone (702) 329-1156
330 S Lola Ln
Ste 200
Pahrump, NV 89048
Phone (775) 751-7100
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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1447656988
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1689381998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33269",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850673269",
"telephone_number": "602-406-4786",
"fax_number": "916-636-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4855 BLUE DIAMOND RD STE 220",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891397602",
"telephone_number": "702-620-7007",
"fax_number": "702-386-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARUSIRI",
"first_name": "MELISSA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-04",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "860185",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "RN94275",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.