Organization Active NPI

Pacificus Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1730057183
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PACIFICUS MENTAL HEALTH LLC
Practice address
7318 W Post Rd Ste 211
Las Vegas, NV 89113-6646
Phone
(702) 785-8406
NPI assigned
Oct 27, 2025
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Salem G Fitsum, MSNNPI 1861177131
Title
Pmhnp
Phone
(725) 425-5863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

7318 W Post Rd Ste 211
Las Vegas, NV 89113-6646

Mailing address

7318 W Post Rd Ste 211
Las Vegas, NV 89113-6646
Phone (725) 425-5863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260514002988 NV Part B Supplier - Clinic/Group Practice 7517436991 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1730057183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 W POST RD STE 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136646",
            "telephone_number": "725-425-5863",
            "fax_number": "725-215-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 W POST RD STE 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136646",
            "telephone_number": "702-785-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICUS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "FITSUM",
        "authorized_official_first_name": "SALEM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "725-425-5863",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.