Jezryl Celiz

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2022069182 Issued in NV

Practice address

3930 E Patrick LN
Las Vegas, NV 89120-4924

Phone

(702) 665-6869

Fax

(702) 780-5252

NPI assigned

Mar 17, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jezryl Cabugwas Professional name

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oasis Counseling LLCGroup PAC ID 3971752684, 20 clinicians

Ares House Calls LLCGroup PAC ID 1052763018, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Beryl Behavioral LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1558103531
  Medicare reassignment NPD Authorized official
• Freedom Minds Nursing Services LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Henderson, NV
  • NPI 1134008303
  Medicare reassignment NPD Authorized official
• Ares House Calls LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1265204887
  Medicare reassignment Care Compare group
• Oasis Counseling LLC

  • Mental Health Counselor
  • Henderson, NV
  • NPI 1336400951
  Medicare reassignment Care Compare group
• Individualized Mindful Solutions LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1669245239
  Medicare reassignment NPD
• Oasis of Hope LLC

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
  • NPI 1316800402
  Medicare reassignment NPD
• Serenity Therapy and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1366290249
  Medicare reassignment NPD
• Uzma Zafar MD PC

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1598915795
  Medicare reassignment NPD
• Jan Michael Arceo DNP LLC

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1750909453
  Medicare reassignment

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1801598610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 E PATRICK LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204924",
            "telephone_number": "702-665-6869",
            "fax_number": "702-780-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 E PATRICK LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204924",
            "telephone_number": "702-665-6869",
            "fax_number": "702-780-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELIZ",
        "first_name": "JEZRYL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "2022069182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEZRYL",
            "last_name": "CABUGWAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jacqueline Marie Celestine
• Tyari Shanese Celestine
• Jessica Celestino, O.D.
• Melisa Celis, CADC-I
• Sandra Celis
• Brian Celler
• Emma Bernasor Cempron, APN
• John Jianyong Cen
• Kelly Pei Cen
• Anthony Cenabre

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.