Individual provider Active NPI

Gavin Jeffrey Hirschhorn, APRN

  • Acute Care Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1780149369
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
818248 Issued in NV
Practice address
715 Mall Ring Cir Ste 202
Henderson, NV 89014-6667
Phone
(702) 483-6200
Fax
(702) 483-6202
NPI assigned
Feb 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 818248 NV Primary

Addresses

Primary practice location

715 Mall Ring Cir Ste 202
Henderson, NV 89014-6667

Mailing address

715 Mall Ring Cir Ste 202
Henderson, NV 89014-6667
Phone (702) 483-6200

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
I20200529002257 NV Practitioner - Nurse Practitioner 9830510858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Qureshi Al-Owir PLLCGroup PAC ID 4183763592, 18 clinicians

Practice addresses (Care Compare)

1050 W Galleria Dr
Henderson, NV 89011-4800
Phone (702) 963-7000

4015 McLeod Dr
Las Vegas, NV 89121-4305
Phone (702) 433-2200

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000

8550 S Eastern Ave
Las Vegas, NV 89123-2835
Phone (702) 382-3155

Hospital & facility affiliations

  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Boulder City Hospital Hospital, Boulder City, NV, CCN 291309
  • La Paz Regional Hospital Hospital, Parker, AZ, CCN 031317

Merit-based Incentive Payment System (MIPS)

Final score
65.71 of 100Reported as group
Quality
22.52
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Qureshi Al-Owir PLLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

715 Mall Ring Cir
Ste 202
Henderson, NV 89014
Phone (702) 483-5092

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1780149369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MALL RING CIR STE 202",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146667",
            "telephone_number": "702-483-6200",
            "fax_number": "702-483-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MALL RING CIR STE 202",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146667",
            "telephone_number": "702-483-6200",
            "fax_number": "702-483-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHHORN",
        "first_name": "GAVIN",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "818248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.