Individual provider Active NPI

Anna Fermin, MD

  • Neurology Physician
  • Henderson, NV
National Provider Identifier
1740572999
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
16977 Issued in NV
Practice address
2430 W Horizon Ridge Pkwy
Henderson, NV 89052-2729
Phone
(702) 247-9994
Fax
(702) 651-9995
NPI assigned
May 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 16977 NV
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 16977 NV
Neurology Physician 2084N0400X 16977 NV Primary

Addresses

Primary practice location

2430 W Horizon Ridge Pkwy
Henderson, NV 89052-2729

Mailing address

Dumc 2905
0395 Orange Zone Duke Clinics
Durham, NC 27710-0001
Phone (786) 376-7560

Other practice location 1

301 Prospect Ave
Medical Education
Syracuse, NY 13203-1807
Phone (315) 448-5537

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170616001303 NV Practitioner - Neurology 6002102084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yu Neurology and Electrodiagnostic Center of Nevada LTDGroup PAC ID 0547292195, 7 clinicians

Practice addresses (Care Compare)

2430 W Horizon Ridge Pkwy
Henderson, NV 89052-2729
Phone (702) 247-9994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16977NVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yu Neurology and Electrodiagnostic Center of Nevada LTD Neurology CurrentSince Jul 1, 2017 Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

2430 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 247-9994

653 N Town Center Dr
Ste 104
Las Vegas, NV 89144
Phone (702) 247-9994

Interoperability endpoints

  • Direct secure messaging: anna.fermin.p1@direct.neurocnv.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740572999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DUMC 2905",
            "address_2": "0395 ORANGE ZONE DUKE CLINICS",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "786-376-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522729",
            "telephone_number": "702-247-9994",
            "fax_number": "702-651-9995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Prospect Ave",
            "address_2": "Medical Education",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031807",
            "country_code": "US",
            "telephone_number": "315-448-5537",
            "fax_number": "315-448-6313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERMIN",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NV",
            "license": "16977",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NV",
            "license": "16977",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "16977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.