NPIMap

Organization Active NPI

Jan Michael Arceo DNP LLC

Doing business as Dr. Arceo Psychiatric Services

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1750909453
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
JAN MICHAEL ARCEO DNP LLC
Doing business as
Dr. Arceo Psychiatric Services
Practice address
3140 S Rainbow Blvd Ste 401
Las Vegas, NV 89146-6234
Phone
(702) 476-4321
NPI assigned
Jul 8, 2020
Last updated
Oct 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Dr. Jan Michael Arceo, DNPNPI 1750857728
Title
Owner
Phone
(702) 476-4321

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
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

3140 S Rainbow Blvd Ste 401
Las Vegas, NV 89146-6234

Mailing address

3140 S Rainbow Blvd Ste 401
Las Vegas, NV 89146-6234
Phone (702) 476-4321

Other names 1

  • Dr. Arceo Psychiatric Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200819002884 NV Part B Supplier - Clinic/Group Practice 6305262452 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

3140 S Rainbow Blvd
Ste 401
Las Vegas, NV 89146
Phone (702) 476-4321

Practitioners & affiliated clinicians

Practitioners 2

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": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1750909453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 S RAINBOW BLVD STE 401",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466234",
            "telephone_number": "702-476-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 S RAINBOW BLVD STE 401",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466234",
            "telephone_number": "702-476-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN MICHAEL ARCEO DNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "ARCEO",
        "authorized_official_first_name": "JAN MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-476-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Arceo Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 2020; 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.