Individual provider Active NPI

Jency Mathew

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1821760307
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
845702 Issued in NV
Practice address
4810 W Ann Rd
Las Vegas, NV 89130-1506
Phone
(866) 389-2727
NPI assigned
Oct 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 845702 NV Primary

Addresses

Primary practice location

4810 W Ann Rd
Las Vegas, NV 89130-1506

Mailing address

7021 Spring Mountain Rd
Las Vegas, NV 89117-3818
Phone (702) 803-2222

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
I20220111000771 NV Practitioner - Nurse Practitioner 6709278393 Reassigns benefits to 2 organizations

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
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

149 N Gibson Rd
Suite H
Henderson, NV 89014-6763
Phone (702) 558-6275

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA Current Accepting new patients
Santa Rosa Medical Centers of Nevada, Inc. CurrentSince Feb 1, 2022 Accepting new patients
American Current Care PA CurrentSince Jun 21, 2023 Accepting new patients
American Current Care P.a. CurrentSince Jun 21, 2023 Accepting new patients
C & C Health Care Services LLC Past Accepting new patients

Locations

149 N Gibson Rd
Ste H
Henderson, NV 89014
Phone (702) 558-6275

7021 Spring Mountain Rd
Las Vegas, NV 89117
Phone (702) 803-2222

4161 S Eastern Ave
Ste B3
Las Vegas, NV 89119
Phone (702) 693-5891

255 Glendale Ave
Ste 12
Sparks, NV 89431
Phone (775) 356-8181

Organizations & group practices 5

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": "1633132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1821760307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 SPRING MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173818",
            "telephone_number": "702-803-2222",
            "fax_number": "702-989-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 W ANN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301506",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "JENCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "845702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.