Individual provider Active NPI

Phillisha Thompson

  • Acute Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1790453975
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
845714 Issued in NV
Practice address
6260 McLeod Dr Ste 120
Las Vegas, NV 89120-4445
Phone
(702) 665-8111
Fax
(702) 551-9276
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 845714 NV Primary

Addresses

Primary practice location

6260 McLeod Dr Ste 120
Las Vegas, NV 89120-4445

Mailing address

6260 McLeod Dr Ste 120
Las Vegas, NV 89120-4445
Phone (702) 444-2407

Other identifiers 1

IdentifierTypeStateIssuer
845714OtherNVAPRN

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
I20211110000947 NV Practitioner - Nurse Practitioner 5698164846 Reassigns benefits to 1 organization
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Acute Medical Services-Scherr 1 PCGroup PAC ID 6103101738, 68 clinicians

Practice addresses (Care Compare)

1250 S Valley View Blvd
Las Vegas, NV 89102-1855
Phone (702) 877-8898

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pthompson Advance Practice CurrentSince Nov 17, 2022 Accepting new patients
Nevada Acute Medical Services-Scherr 1 PC CurrentSince Sep 22, 2024 Accepting new patients

Locations

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

6260 McLeod Dr
Ste 120
Las Vegas, NV 89120
Phone (702) 444-2407

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.

Hospital & facility affiliations 1

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1790453975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 MCLEOD DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204445",
            "telephone_number": "702-444-2407",
            "fax_number": "702-551-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 MCLEOD DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204445",
            "telephone_number": "702-665-8111",
            "fax_number": "702-551-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PHILLISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "845714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "845714",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.