Individual provider Active NPI

Jenifer Nicole Powers, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1811296254
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
22622 Issued in NV
Practice address
2231 W Charleston Blvd
Las Vegas, NV 89102-2254
Phone
(702) 383-2663
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 22622 NV
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Orthopaedic Surgery Physician 207XP3100X 22622 NV Primary
Orthopaedic Surgery Physician 207X00000X R0933 TX

Addresses

Primary practice location

2231 W Charleston Blvd
Las Vegas, NV 89102-2254

Mailing address

2231 W Charleston Blvd
Las Vegas, NV 89102-2254
Phone (702) 383-2663

Other names 1

  • Jenifer Jarrell Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017000227 NV Practitioner - Orthopedic Surgery 5092947689 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22622NVMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Nov 11, 2024 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Nov 11, 2024 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

2779 W Horizon Ridge Pkwy
Ste 200
Henderson, NV 89052
Phone 7029902290222

4231 N Rancho Dr
Las Vegas, NV 89130
Phone (702) 383-3800

11860 Southern Highlands Pkwy
Ste 100
Las Vegas, NV 89141
Phone (702) 383-6230

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2231 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 383-2663

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1811296254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022254",
            "telephone_number": "702-383-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022254",
            "telephone_number": "702-383-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "JENIFER",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "22622",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NV",
            "license": "22622",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "R0933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIFER",
            "last_name": "JARRELL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.