Alejandro Jimenez Incera, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN001889 Issued in NV

Practice address

10885 S Eastern Ave
Suite 100
Henderson, NV 89052-5857

Phone

(702) 419-9977

Fax

(702) 921-0222

NPI assigned

Mar 11, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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.

• Comprehensive Urgent Care

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1578478673
  NPD (past)

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1740673029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 S JONES BLVD",
            "address_2": "#32169",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891738801",
            "telephone_number": "702-624-5441",
            "fax_number": "702-921-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10885 S EASTERN AVE",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525857",
            "telephone_number": "702-419-9977",
            "fax_number": "702-921-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCERA",
        "first_name": "ALEJANDRO",
        "middle_name": "JIMENEZ",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-11",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "APRN001889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immersive Medical Holdings PLLC
• Jaimee Imperial, MD
• Ims Neurosurgical Specialists LLC
• Natasha Inacio
• Incera LLC
• Inclusion Fusion, LLC
• Independence Lifestyles Inc
• Indigo Home Health Services Inc
• Maria De la Caridad Infante Fernandez
• Infectious Disease Providers of Nevada LTD

• Gerontology Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Gerontology Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.