Individual provider Active NPI

Jilianne May Balajadia, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1720976079
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
810333 Issued in NV
Practice address
840 N Decatur Blvd Ste a
Las Vegas, NV 89107-1932
Phone
(702) 333-0110
Fax
(702) 333-0110
NPI assigned
Jun 25, 2025
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 810333 NV Primary

Addresses

Primary practice location

840 N Decatur Blvd Ste a
Las Vegas, NV 89107-1932

Mailing address

369 Mezzaforte St
Henderson, NV 89011-2685
Phone (661) 794-8668

Other practice location 1

2123 Civic Center Dr
N Las Vegas, NV 89030-6327
Phone (702) 333-0110

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
I20251008001472 NV Practitioner - Nurse Practitioner 1951808740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angeles Medical Center LLCGroup PAC ID 9830472372, 4 clinicians

Practice addresses (Care Compare)

840 N Decatur Blvd
Suite a
Las Vegas, NV 89107-1932
Phone (702) 333-0110

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angeles Mobile Phlebotomy LLC Single Specialty Current Accepting new patients
Angeles Medical Centers LLC Single Specialty CurrentSince Aug 15, 2025 Accepting new patients

Locations

840 N Decatur Blvd
Ste A
Las Vegas, NV 89107
Phone (702) 333-0110

2123 Civic Center Dr
North Las Vegas, NV 89030
Phone (702) 333-0110

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1720976079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 MEZZAFORTE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890112685",
            "telephone_number": "661-794-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N DECATUR BLVD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071932",
            "telephone_number": "702-333-0110",
            "fax_number": "702-333-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2123 Civic Center Dr",
            "address_purpose": "LOCATION",
            "city": "N Las Vegas",
            "state": "NV",
            "postal_code": "890306327",
            "country_code": "US",
            "telephone_number": "702-333-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALAJADIA",
        "first_name": "JILIANNE MAY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "810333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.